Adelheid Theresa Gaertner

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3268-16 Issued in WI

Practice address

210 NW Barstow St
305
Waukesha, WI 53188-3771

Phone

(262) 522-7645

Fax

(262) 522-2828

NPI assigned

Jul 31, 2014

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 names 1

• Mrs. Heidi Theresa Gaertner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Waukesha County Community Dental Clinic, Inc.

  • Dental Clinic/Center
  • Menomonee Falls, WI
  • NPI 1053814772
  NPD (past)
• Waukesha County Community Dental Clinic, Inc.

  • Dental Clinic/Center
  • Waukesha, WI
  • NPI 1629241237
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1134537277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NW BARSTOW ST",
            "address_2": "305",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883771",
            "telephone_number": "262-522-7645",
            "fax_number": "262-522-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NW BARSTOW ST",
            "address_2": "305",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883771",
            "telephone_number": "262-522-7645",
            "fax_number": "262-522-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERTNER",
        "first_name": "ADELHEID",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "3268-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "GAERTNER",
            "middle_name": "THERESA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Full Motion Family Chiropractic LLC
• Shalyn Fuller
• Andrea Carmen Furby, MA. LPC, SAC-IT
• Dana Furru, SLP
• Jennifer Erin Fyksen
• Carrie J. Gajafsky, APNP
• Thomas Gallagher, M.D.
• Angela Jean Galloway, RDH
• Elina Siranoush Galovich
• Cecile Gambrell, PERSONAL CARE WORKER

• Dental Hygienist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.