Individual provider Active NPI

Dustin James Dengel, DDS

  • General Practice Dentistry
  • Wausau, WI
National Provider Identifier
1063197952
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
600119615 Issued in WI
Practice address
227071 Hummingbird Rd
Wausau, WI 54401-3332
Phone
(715) 845-3200
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 600119615 WI Primary

Addresses

Primary practice location

227071 Hummingbird Rd
Wausau, WI 54401-3332

Mailing address

W6523 Wayside Dr
Merrill, WI 54452-8523
Phone (715) 218-3323

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
600119615WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Szmanda Dental Center, SC General Practice CurrentSince Apr 14, 2024 Accepting new patients
Szmanda Dental Center General Practice Past Accepting new patients

Locations

227071 Hummingbird Rd
Rib Mountain, WI 54401
Phone (715) 845-3200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1063197952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6523 WAYSIDE DR",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544528523",
            "telephone_number": "715-218-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227071 HUMMINGBIRD RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013332",
            "telephone_number": "715-845-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENGEL",
        "first_name": "DUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "600119615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.