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CHIPPEWA VALLEY TECHNICAL COLLEGE
NPI 1093868358
Dentist - General Practice in Eau Claire, WI

Active since January 19, 2007CLIA 52D0950836 · Waiver
620 W CLAIREMONT AVE, HEC 120, EAU CLAIRE, WI 54701(715) 833-6271(715) 833-6447 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chippewa Valley Technical College NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIPPEWA VALLEY TECHNICAL COLLEGE (NPI 1093868358) is a healthcare organization registered as a general practice in Eau Claire, Wisconsin and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 25, 2028 and lists Shelly Olson, Campus Administrator, as its authorized official.

NPPES Registry Identity

NPI1093868358
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHIPPEWA VALLEY TECHNICAL COLLEGE
Location Address620 W CLAIREMONT AVE, HEC 120Eau Claire, WI 54701-6120
Mailing Address620 W. Clariemont Ave, Hec 120Eau Claire, WI 54701 · (715) 833-6271 · Fax (715) 833-6447
Phone(715) 833-6271
Fax(715) 833-6447
Organization SubpartNo
Authorized OfficialShelly OlsonCampus Administrator · (715) 833-6675
Enumeration DateJanuary 19, 2007
Last NPPES UpdateApril 19, 2013
✔ NPI 1093868358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
620 W CLAIREMONT AVE, Eau Claire, WI 54701
Open in Google Maps ↗

Other Identifiers 1

Other38394300WI · Badger Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0950836

Chippewa Valley Technical College Clinical Laboratory Dept · Eau Claire, WI
Active · expires Apr 25, 2028
CLIA Number52D0950836
Laboratory TypeSchool/Student Health Service
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorMs. Bridget Oconnell
Laboratory Phone(715) 833-6420
Laboratory LocationChippewa Valley Technical College Clinical Laboratory Dept615 W Clairemont Ave, Eau Claire, WI 54701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA JEAN ENTORF GDH RDH BS MEPD
Dental Hygienist
620 W CLAIREMONT AVE, CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE PROGRA
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-6506
DR. SARAH DARLENE CHAMBERS DDS
Dentist
620 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-6270
NICOLE S PETERS
Dentist
620 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-6271
DR. BRUCE WAYNE TRIMBLE DDS
Dentist (General Practice)
620 W CLAIREMONT AVE, CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE PROGRA
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-6370
DEBORAH JUNE SCHUMACHER RDH BS ME PD
Dental Hygienist
620 W CLAIREMONT AVE, CVTC DENTAL HYGIENE PROGRAM CLINIC
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-6370
MS. MONICA JANE DONNELLAN RDH BS
Dental Hygienist
620 W CLAIREMONT AVE, CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE PROGRA
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-6370
DR. DAVID M JOHNSON DDS
Dentist (General Practice)
620 W CLAIREMONT AVE, CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE CLINIC
EAU CLAIR, WI 54701
Eau Claire County (715) 833-6370
DR. CHELSEA SELIN DDS
Dentist
620 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-6270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chippewa Valley Technical College's NPI number?

The NPI number for Chippewa Valley Technical College is 1093868358. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Chippewa Valley Technical College located?

Chippewa Valley Technical College is located at 620 W Clairemont Ave Hec 120, Eau Claire, WI 54701. The listed phone number is (715) 833-6271.

What is Chippewa Valley Technical College's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Chippewa Valley Technical College hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0950836) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chippewa Valley Technical College was last updated on April 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.