Individual provider Active NPI

Kathleen Herrscher

  • General Practice Dentistry
  • Menomonee Falls, WI
National Provider Identifier
1154487551
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4750 Issued in WI
Practice address
N80W17707 Custer LN
Menomonee Falls, WI 53051-3630
Phone
(262) 255-2727
Fax
(262) 255-3903
NPI assigned
Dec 29, 2006
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4750 WI Primary

Addresses

Primary practice location

N80W17707 Custer LN
Menomonee Falls, WI 53051-3630

Mailing address

N80W17707 Custer LN
Menomonee Falls, WI 53051-3630
Phone (262) 255-2727

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160105001631 WI Order and Referring Only - DentistPractitioner - Dentist 4082916275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4750WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Dental Group, S.C. PastSince Mar 20, 2022 Accepting new patients
Deerwood Orthodontics, LLC PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1154487551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N80W17707 CUSTER LN",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513630",
            "telephone_number": "262-255-2727",
            "fax_number": "262-255-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N80W17707 CUSTER LN",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513630",
            "telephone_number": "262-255-2727",
            "fax_number": "262-255-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRSCHER",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.