St. Vincent de Paul of Sauk Prairie/ Roxbury, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ST. VINCENT DE PAUL OF SAUK PRAIRIE/ ROXBURY, INC

Practice address

1906 North St
Prairie Du Sac, WI 53578-1148

Phone

(608) 643-8905

NPI assigned

Feb 25, 2011

Last updated

Feb 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Fabisiak

Title

General Manager

Phone

(608) 643-8905

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly J Ramirez, RDH

  • Dental Hygienist
  • Prairie Du Sac, WI
  • NPI 1245591296
  NPD (past)

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1982901088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 19TH ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781195",
            "telephone_number": "608-643-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 NORTH ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781148",
            "telephone_number": "608-643-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT DE PAUL OF SAUK PRAIRIE/ ROXBURY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "FABISIAK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "608-643-8905"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhya V Shah, MD
• David E Sisbach, CRNA
• Emily J Smith, PA
• Jamie Soper, AU.D.
• Angela M Sorg, APNP
• Mark A Starr, CRNA
• Brooke A Stephnes, HYG
• Debra M Stieve, R.D.H.
• Isaac Stine, DDS
• Kathryn Ann Straub, P.T.

• General Practice Dentistry in Prairie Du Sac, WI
• Providers in Prairie Du Sac, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.