William C. Martineau, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5002065 Issued in WI

Practice address

1858 Supreior St.
Three Lakes, WI 54562

Phone

(715) 546-2101

NPI assigned

Sep 14, 2007

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

Other identifiers 1

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: william.martineau.1@8439.direct.athenahealth.com

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.

• Lakes Dental Services, Inc.

  • General Practice Dentistry
  • Three Lakes, WI
  • NPI 1407878978
  NPD (past) Authorized official

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1144415944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "THREE LAKES",
            "state": "WI",
            "postal_code": "545620284",
            "telephone_number": "715-546-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 SUPREIOR ST.",
            "city": "THREE LAKES",
            "state": "WI",
            "postal_code": "54562",
            "telephone_number": "715-546-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEAU",
        "first_name": "WILLIAM",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5002065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33373200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DJH Inc
• Linden Fraser, RN
• Elizabeth A Kuhn, MSW, LCSW
• Lakes Dental Services, Inc.
• Linderud Apothecaries LLC
• Moe Drugs LLC
• Seth Moe, PHARM D.
• Jean Frances Reed, COTA
• Three Lakes School District
• Madalyn Mae Volkmann

• General Practice Dentistry in Three Lakes, WI
• Providers in Three Lakes, 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 Sep 14, 2007; 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.