JOANN MARTENS, DDS
Complete NPI Record 1285288464
Dentist - General Practice in Waunakee, WI

Complete NPI Dataset

This page represents the complete record for NPI 1285288464. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1285288464

The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.

Entity Type Code: 2

Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).

Employer Identification Number EIN: UNAVAIL

The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.

Provider Organization Name Legal Business Name: APPLEWHITE DENTAL WISCONSIN, P.C.

The name of the organization provider. If the provider is an organization, this is the legal business name.

Provider Other Organization Name: JOANN MARTENS, DDS

Other name by which the organization provider is or has been known.

Provider Other Organization Name Type Code: 3

Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.

Provider First Line Business Mailing Address: 40 MAIN ST STE 100

The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.

Provider Business Mailing Address City Name: DUBUQUE

The city name in the mailing address of the provider being identified.

Provider Business Mailing Address State Name: IA

The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.

Provider Business Mailing Address Postal Code: 520017654

The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.

Provider Business Mailing Address Country Code If outside U S : US

The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.

Provider Business Mailing Address Telephone Number: 5635821448

The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.

Provider First Line Business Practice Location Address: 1125 STEPHENSON LN

The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Business Practice Location Address City Name: WAUNAKEE

The city name in the location address of the provider being identified.

Provider Business Practice Location Address State Name: WI

The State code in the location of the provider being identified.

Provider Business Practice Location Address Postal Code: 535972516

The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.

Provider Business Practice Location Address Country Code If outside U S : US

The country code in the location address of the provider being identified.

Provider Business Practice Location Address Telephone Number: 6088494424

The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.

Provider Business Practice Location Address Fax Number: 6088494426

The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.

Provider Enumeration Date: 7/26/2019

Last Update Date: 7/29/2019

Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

Authorized Official Last Name: LOSO

The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.

Authorized Official First Name: SHARON

The first name of the authorized official.

Authorized Official Middle Name: L

The middle name of the authorized official.

Authorized Official Title or Position: CREDENTIALING SPECIALIST

The title or position of the authorized official.

Authorized Official Telephone Number: 5635821448

The 10-position telephone number of the authorized official.

Healthcare Provider Taxonomy Code 1: 122300000X

Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 1: N

Healthcare Provider Taxonomy Code 2: 1223G0001X

Healthcare Provider Primary Taxonomy Switch 2: Y

Is Organization Subpart: Y

Parent Organization LBN: APPLEWHITE DENTAL WISCONSIN, P.C.

Parent Organization TIN: UNAVAIL

Healthcare Provider Taxonomy Group 1: 193400000X MULTIPLE SINGLE SPECIALTY GROUP

Healthcare Provider Taxonomy Group 2: 193400000X SINGLE SPECIALTY GROUP