Ross Dreger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0004378015 Issued in WI

Practice address

1851 County Road XX
Mosinee, WI 54455-7933

Phone

(715) 359-0550

NPI assigned

Jul 19, 2006

Last updated

May 15, 2014By the provider in NPPES

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

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1043239130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 COUNTY ROAD XX",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544557933",
            "telephone_number": "715-359-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 COUNTY ROAD XX",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544557933",
            "telephone_number": "715-359-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREGER",
        "first_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "0004378015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Deffner, NP
• Jason Craig Doering, D.D.S.
• Draeger Health LLC (Integrated Pain Solutions)
• Alyssa Draeger, DCM, L.AC.
• Grant P Draeger, D.C.
• Dana Duguid
• Anna R Durst
• Tara Egnarski, COTA
• Frederick Charles Eichmiller, DDS
• Katie Ewert, M.S. CCC-SLP

• General Practice Dentistry in Mosinee, WI
• Providers in Mosinee, 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 May 15, 2014; 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.