Alexa Seitz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002045 Issued in WI

Practice address

300 Main St W
Ashland, WI 54806-1639

Phone

(715) 934-0710

Fax

(715) 598-4881

NPI assigned

Jul 26, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakemoor Dental of Hainesville LLC

  • Dentist
  • Hainesville, IL
  • NPI 1598600884
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1013220516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E BELVIDERE RD",
            "city": "HAINESVILLE",
            "state": "IL",
            "postal_code": "600301040",
            "telephone_number": "847-986-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061639",
            "telephone_number": "715-934-0710",
            "fax_number": "715-598-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "ALEXA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Schmitt, OTR/L
• Angela Schoeppach, OTR/L
• School District of Ashland
• Billy L Schouten, RN
• Renee C Schroeder, DO
• Gerald Andrew Seitz, RADCI
• Shannon Sharpe
• Stuart Hawley Sheets, M.D.
• Eric Scott Sherck, MD
• Shopko Stores Operating Co LLC

• General Practice Dentistry in Ashland, WI
• Providers in Ashland, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.