Blake C. Treichel, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7267 - 15 Issued in WI

Practice address

230 E Towne Dr
Hortonville, WI 54944-9303

Phone

(920) 779-4533

NPI assigned

Jun 11, 2014

Last updated

Feb 19, 2024By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brothers in Bond, LLC

  • Dental Clinic/Center
  • Hortonville, WI
  • NPI 1609631738
  NPD Authorized official
• Dr. Clint Dunathan SC Smiles by Design SC

  • General Practice Dentistry
  • Hortonville, WI
  • NPI 1285768515
  NPD (past)

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1063826659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E TOWNE DR",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549449303",
            "telephone_number": "920-779-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E TOWNE DR",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549449303",
            "telephone_number": "920-779-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREICHEL",
        "first_name": "BLAKE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7267 - 15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Andrew Sirna
• Kaitlyn Stade
• Rachel Swichtenberg
• Shawn Swiechowski
• Jessica Rose Timm, MS CCC-SLP
• Katie Uhlenbrauck
• Jenna Michele Vandenavond, DDS
• Jamie L Vander Sanden, D.C.
• Wellspring Mental Health LLC
• Susan Mary Wisniewski, OTR

• Dentist in Hortonville, WI
• Providers in Hortonville, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.