OrganizationActive
Fox River Periodontics Sc
NPI 1134339500 · Periodontics · Appleton, WI
Fox River Periodontics Sc is a Periodontics organization in Appleton, WI (NPI 1134339500).
Provider details
- NPI number
- 1134339500
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jason Cooke, President(920) 733-7770
- License
- 5864-015 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2557b East Calumet St
Appleton, WI 54915
Phone: (920) 733-7770
Fax: (920) 733-7798
Street-level locationGet directions
Mailing address
2557b East Calumet St
Appleton, WI 54915
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fox River Periodontics Sc's NPI number?
- Fox River Periodontics Sc's National Provider Identifier (NPI) is 1134339500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fox River Periodontics Sc?
- Fox River Periodontics Sc is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Fox River Periodontics Sc located?
- Fox River Periodontics Sc's practice location on file with NPPES is 2557b East Calumet St, Appleton, WI 54915.
- What is Fox River Periodontics Sc's phone number?
- The practice phone number listed in the NPPES registry for Fox River Periodontics Sc is (920) 733-7770.
- Who is the authorized official for Fox River Periodontics Sc?
- The authorized official listed on Fox River Periodontics Sc's NPPES record is Jason Cooke, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fox River Periodontics Sc's NPI active?
- Yes — Fox River Periodontics Sc's NPI (1134339500) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.