Mark Schlichtig, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6123 Issued in WI

Practice address

404 Red Cedar St
Menomonie, WI 54751-2332

Phone

(715) 233-6800

Fax

(715) 235-1327

NPI assigned

Jun 14, 2007

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

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1104020924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RED CEDAR ST",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512332",
            "telephone_number": "715-233-6800",
            "fax_number": "715-235-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLICHTIG",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Jack Sampson
• Derek A. Scammell, M.D.
• Jeffrey J Schemenauer, DC
• Kyle John Schemenauer, BA
• Sarah Jane Schemenauer, BSW
• Robert David Schmieg, CRNA
• Jonathan Donald Schmitz, MS CCC SLP
• Noah Schober
• Daniel Allen Schoen, PHARMD
• Coltan James Schoenike

• General Practice Dentistry in Menomonie, WI
• Providers in Menomonie, 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 Jun 22, 2023; 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.