Nathan James Fiebke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001137-15 Issued in WI

Practice address

140 S Brown St
Rhinelander, WI 54501-3453

Phone

(715) 362-4247

NPI assigned

Jun 17, 2015

Sex

Male

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 WI

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

Locations

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.

• Fiebke Dental SC

  • General Practice Dentistry
  • Rhinelander, WI
  • NPI 1568047108
  NPD Authorized official

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1013398775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S BROWN ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013453",
            "telephone_number": "715-362-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S BROWN ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013453",
            "telephone_number": "715-362-4247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2268 N Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Rhinelander",
            "state": "WI",
            "postal_code": "545018888",
            "country_code": "US",
            "telephone_number": "715-420-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIEBKE",
        "first_name": "NATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001137-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey M. Fashingbauer, PA-C, LAT
• Candace A Fedrowitz, OTR
• Lynn A Feldman
• Steven F Ferch, DC
• Fiebke Dental SC
• Kristi A Finnan, MS MFT LCSW
• First Impressions SC
• Kathleen Fisher, CRNA
• Rebecca A Fix, APNP
• Elizabeth G Fjelstad, DPT

• General Practice Dentistry in Rhinelander, WI
• Providers in Rhinelander, 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 Mar 16, 2021; 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.