Amy Grace Ott, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1000996-15 Issued in WI

Practice address

404 Wisconsin Ave
Amery, WI 54001-1071

Phone

(715) 268-7177

NPI assigned

Aug 28, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1023418902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WISCONSIN AVE",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011071",
            "telephone_number": "715-268-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WISCONSIN AVE",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011071",
            "telephone_number": "715-268-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "AMY",
        "middle_name": "GRACE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1000996-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Lynn Olson, MS
• Jayna Lunde Olson
• Jesse Ray Olson, DPT
• Lora Elizabeth Olson, OTR
• Hannah Marie Omann, FNP
• Amy Lynn Panek, RN
• Katrina Sicam Pavlichek, DMD
• Gina Peck
• Jacqueline Peterson, D.C.
• Margie H Peterson, MD

• General Practice Dentistry in Amery, WI
• Providers in Amery, 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 23, 2015; 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.