Fox River Periodontics Sc

Fox River Periodontics Sc is a healthcare organization registered as Periodontics in Appleton, WI, holding Type 2 (organization) NPI 1134339500 since 2007. The authorized official on file is Jason Cooke, President.

✓ Active NPI ✓ Valid NPI checksum

NPI	1134339500
Entity type	Organization (Type 2)
Legal business name	Fox River Periodontics Sc
Practice address	2557B EAST CALUMET ST, Appleton, WI, 54915
Phone	9207337770
Fax	9207337798
Enumeration date	2007-05-23
Last updated in NPPES	2020-08-22

Authorized official

Name	Jason Cooke
Title	President
Phone	9207337770

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223P0300X	Periodontics	Primary	5864-015	WI

Copy-ready billing details

Provider: Fox River Periodontics Sc
NPI: 1134339500
Taxonomy: 1223P0300X (Periodontics)
Address: 2557B EAST CALUMET ST, Appleton, WI, 54915

Verify this record

Cross-check NPI 1134339500 against the authoritative CMS record: view Fox River Periodontics Sc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Fox River Periodontics Sc located?

The practice location on file with NPPES is in Appleton, WI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.