John Henry Prey, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

451 G Issued in WI

Practice address

1980 7TH St S
Wisconsin Rapids, WI 54494-6017

Phone

(715) 423-7160

Fax

(715) 325-3057

NPI assigned

Nov 29, 2007

Last updated

Nov 29, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrea M Bertotto, D.D.S., S.C.

  • Dentist
  • Wisconsin Rapids, WI
  • NPI 1194135582
  NPD (past)
• Gerald M. Voelker D.D.S.

  • Dentist
  • Wisconsin Rapids, WI
  • NPI 1437367661
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1164604252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 7TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946017",
            "telephone_number": "715-423-7160",
            "fax_number": "715-325-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 7TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946017",
            "telephone_number": "715-423-7160",
            "fax_number": "715-325-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREY",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "451 G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jesse Portillo, LPC
• Brenda Prange, COTA
• Louanne Pufall, CSAC
• Rachel Pulkinen, PA-C
• Nicole Marie Pyan, LAT, ATC
• Taisa Rae Quinnell
• Thomas Harrison Raabe, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.