Organization Active NPI

Fond Du Lac School District

  • Local Education Agency (LEA)
  • Fond Du Lac, WI
National Provider Identifier
1982829776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
FOND DU LAC SCHOOL DISTRICT
Practice address
72 W 9TH St
Fond Du Lac, WI 54935-4956
Phone
(920) 906-6520
Fax
(920) 929-6858
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Von Tish
Title
Director of Pupil Services
Phone
(902) 906-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X WI Primary

Addresses

Primary practice location

72 W 9TH St
Fond Du Lac, WI 54935-4956

Mailing address

72 W 9TH St
Fond Du Lac, WI 54935-4956
Phone (920) 906-6520

Other identifiers 1

IdentifierTypeStateIssuer
44201600MedicaidWI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2225051Fond Du Lac School District72 W 9TH Street, Fond Du Lac, WI 54935Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982829776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 W 9TH ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354956",
            "telephone_number": "920-906-6520",
            "fax_number": "920-929-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W 9TH ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354956",
            "telephone_number": "920-906-6520",
            "fax_number": "920-929-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOND DU LAC SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VON TISH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF PUPIL SERVICES",
        "authorized_official_telephone_number": "902-906-6520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44201600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.