Individual provider Active NPI

Theresa Frankiewicz, RDH

  • Dental Hygienist
  • Fitchburg, WI
National Provider Identifier
1013330042
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
9779-016 Issued in WI
Practice address
5950 Seminole Centre CT
Fitchburg, WI 53711-5023
Phone
(608) 273-6500
Fax
(608) 270-0891
NPI assigned
Jan 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 9779-016 WI Primary

Addresses

Primary practice location

5950 Seminole Centre CT
Fitchburg, WI 53711-5023

Mailing address

5950 Seminole Centre CT
Fitchburg, WI 53711-5023
Phone (608) 273-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9779-016WIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1013330042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 SEMINOLE CENTRE CT",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115023",
            "telephone_number": "608-273-6500",
            "fax_number": "608-270-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 SEMINOLE CENTRE CT",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115023",
            "telephone_number": "608-273-6500",
            "fax_number": "608-270-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKIEWICZ",
        "first_name": "THERESA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "9779-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.