Mary C Padgett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4821 Issued in WI

Practice address

922 Margaret St
Rhinelander, WI 54501-3923

Phone

(715) 365-6859

Fax

(715) 362-2060

NPI assigned

Apr 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

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.

• Northwoods Family Dental SC

  • General Practice Dentistry
  • Rhinelander, WI
  • NPI 1053497289
  NPD (past) Authorized official
• Northwoods Family Dental Group, LLC

  • General Practice Dentistry
  • Rhinelander, WI
  • NPI 1043936784
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1083903553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MARGARET ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013923",
            "telephone_number": "715-365-6859",
            "fax_number": "715-362-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 MARGARET ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013923",
            "telephone_number": "715-365-6859",
            "fax_number": "715-362-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33769700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oneida County Health Depart
• Oneida County Health Department
• Cristin Opall, LPC
• Options Treatment Programs
• Allen Craig Orth, D.C., CCEP, CSCS
• William R. Padgett, M.D.
• Judith S Pagano, MD
• James Panagas, MD
• Jennifer S Pantely, CRNA
• Dawn Patrice Parker-Korinek, OTR/L

• General Practice Dentistry in Rhinelander, WI
• Providers in Rhinelander, 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 Apr 5, 2011; 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.