Amy M Biehl, D.D.S.
Individual provider Active NPI General Practice Dentistry · De Pere, WI
NPI 1104948165 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104948165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5125015 (WI)
- Practice address
- 233 S Erie St
De Pere, WI 54115-2913 - Phone
- (920) 336-1952
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 22, 2012 through Oct 22, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5125015 | WI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5125015 | WI | Yes |
Addresses
Primary practice location
233 S Erie St
De Pere, WI 54115-2913
Mailing address
233 S Erie St
De Pere, WI 54115-2913
Phone (920) 336-1952
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33759300 | Medicaid | WI |
Other providers in De Pere, WI
- Megan E Berendes
- Samantha Berger
- Jennifer Cara Berndt
- David Eugene Bertler
- Cynthia Jane Bieda
- Bozena J Biernat
- Chelsee L Birkholz
- Katie E Bischoff
- Joelle Rae Bitters
- Meghan Bittner
All providers in De Pere, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.