Kristin A D'Acquisto, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10696-016 Issued in WI

Practice address

W12802 County Road a
Bowler, WI 54416-9551

Phone

(715) 793-4144

Fax

(715) 793-4120

NPI assigned

Jan 20, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2010.

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1124359872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W12802 COUNTY ROAD A",
            "city": "BOWLER",
            "state": "WI",
            "postal_code": "544169551",
            "telephone_number": "715-793-4144",
            "fax_number": "715-793-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W12802 COUNTY ROAD A",
            "city": "BOWLER",
            "state": "WI",
            "postal_code": "544169551",
            "telephone_number": "715-793-4144",
            "fax_number": "715-793-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ACQUISTO",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10696-016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN STATE LICENSE",
            "identifier": "10696-016",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Axt, PHARMD
• Bowler School District
• Mark Thomas Caskey, RN
• Mary K Danner
• Brandi J Ejnik
• Dennis Dean Elmergreen, PSY. D.
• Seth Evans, PHARMD
• Paul Favela, DDS

• All providers in Bowler, WI
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.