Andrew Budi, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

1000971-15 Issued in WI

Practice address

105 Kelly Way
Hortonville, WI 54944-8755

Phone

(920) 779-4982

NPI assigned

Oct 13, 2014

Sex

Male

Sole proprietor

Yes

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

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.

• Otter Creek Dental, LLC

  • Dental Clinic/Center
  • Hortonville, WI
  • NPI 1265096812
  NPD (past)

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1134523681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KELLY WAY",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549448755",
            "telephone_number": "920-779-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KELLY WAY",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549448755",
            "telephone_number": "920-779-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDI",
        "first_name": "ANDREW",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1000971-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Elizabeth Adickes
• Mark James Anderson, DC
• Andrea Archambo, BSN, RN
• Brothers in Bond, LLC
• Cynthia Chitwood, RN
• Choice Physical Therapy and Wellness LLC
• Eric Richard Clausen, DC
• Cornerstone Chiropractic of Hortonville LLC
• Deeply Rooted Chiropractic, LLC

• Dentist in Hortonville, WI
• Providers in Hortonville, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.