Individual provider Active NPI

Tonya Rachelle Rebhahn, RDH

  • Dental Hygienist
  • Onalaska, WI
National Provider Identifier
1073841284
Registry record updated Nov 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
6793-016 Issued in WI
Practice address
W5830 Koss Rd
Onalaska, WI 54650-8833
Phone
(608) 781-2582
NPI assigned
Nov 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 6793-016 WI Primary

Addresses

Primary practice location

W5830 Koss Rd
Onalaska, WI 54650-8833

Mailing address

W5830 Koss Rd
Onalaska, WI 54650-8833
Phone (608) 781-2582

Other names 1

  • Mrs. Tonya Rachelle Mikelson Former name

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
6793-016WIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1259366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259366400000",
    "number": "1073841284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5830 KOSS RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508833",
            "telephone_number": "608-781-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5830 KOSS RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508833",
            "telephone_number": "608-781-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHAHN",
        "first_name": "TONYA",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-28",
        "last_updated": "2009-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "6793-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "MIKELSON",
            "middle_name": "RACHELLE",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2009; 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.