APPLE CREEK LTD
NPI 1790188852
Dentist - Orthodontics and Dentofacial Orthopedics in Appleton, WI

Active since October 03, 2014CLIA Certified · 3 labs
2310 E EVERGREEN DR, SUITE B, APPLETON, WI 54913(920) 738-7600 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Apple Creek Ltd NPPES

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

APPLE CREEK LTD (NPI 1790188852) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Appleton, Wisconsin and active in the NPI registry since October 2014. The organization holds 3 active CLIA laboratory certificates and lists James Tomassetti, President, as its authorized official.

NPPES Registry Identity

NPI1790188852
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameAPPLE CREEK LTD
Location Address2310 E EVERGREEN DR, SUITE BAppleton, WI 54913-7404
Mailing Address2310 E Evergreen Dr, Suite BAppleton, WI 54913-7404 · (920) 738-7600
Organization SubpartNo
Authorized OfficialJames TomassettiPresident · (920) 738-7600
Enumeration DateOctober 3, 2014
NPI 1790188852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in WI · 5699
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

2310 E EVERGREEN DR, Appleton, WI 54913

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 52D1055036

Apple Creek Place · Appleton, WI
Active · expires Nov 18, 2026
CLIA Number52D1055036
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorMs. Lindsay A. Frederick
Laboratory Phone(920) 735-6166
Laboratory LocationApple Creek Place5102 N Cherryvale Ave, Appleton, WI 54913
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2002838

Apple Creek Place · Appleton, WI
Active · expires Nov 18, 2026
CLIA Number52D2002838
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorMs. Lindsay A. Frederick
Laboratory Phone(920) 735-6166
Laboratory LocationApple Creek Place5117 N Cherryvale Ave, Appleton, WI 54913
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2073791

Apple Creek Place · Appleton, WI
Active · expires Nov 18, 2026
CLIA Number52D2073791
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorMs. Lindsay Frederick
Laboratory Phone(920) 735-6166
Laboratory LocationApple Creek Place5118 N Cherryvale Ave, Appleton, WI 54913
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 3

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

Dentist (General Practice)
2310 E EVERGREEN DR, SUITE A
APPLETON, WI 54913
Dentist (General Practice)
2310 E EVERGREEN DR, SUITE A
APPLETON, WI 54913
Dentist (Orthodontics and Dentofacial Orthopedics)
2310 E EVERGREEN DR, SUITE B
APPLETON, WI 54913

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 Apple Creek Ltd's NPI number?

The NPI number for Apple Creek Ltd is 1790188852. It was assigned to this organization in the NPPES registry on October 3, 2014.

Where is Apple Creek Ltd located?

Apple Creek Ltd is located at 2310 E Evergreen Dr Suite B, Appleton, WI 54913. The listed phone number is (920) 738-7600.

What is Apple Creek Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Does Apple Creek Ltd hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Apple Creek Ltd was last updated on October 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.