Organization Active NPI

Dha Orthodontics East LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fitchburg, WI
National Provider Identifier
1992738082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DHA ORTHODONTICS EAST LLC
Practice address
2971 Chapel Valley Rd
Administration Office
Fitchburg, WI 53711-7420
Phone
(608) 661-6432
NPI assigned
Jul 9, 2006
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
Allen J Skibba, DDS
Title
Privacy Offical
Phone
(608) 246-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2971 Chapel Valley Rd
Administration Office
Fitchburg, WI 53711-7420

Mailing address

2971 Chapel Valley Rd
Administration Office
Fitchburg, WI 53711-7420
Phone (608) 661-6432

National Provider Directory

National Provider Directory

Locations

2971 Chapel Valley Rd
Ofc
Fitchburg, WI 53711
Phone (608) 661-6432

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992738082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 CHAPEL VALLEY RD",
            "address_2": "ADMINISTRATION OFFICE",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117420",
            "telephone_number": "608-661-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 CHAPEL VALLEY RD",
            "address_2": "ADMINISTRATION OFFICE",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117420",
            "telephone_number": "608-661-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHA ORTHODONTICS EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKIBBA",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRIVACY OFFICAL",
        "authorized_official_telephone_number": "608-246-2555",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.