Ralph Lee Horsens, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001466015 Issued in WI

Practice address

115 Alpine Court
Shawano, WI 54166-2511

Phone

(715) 524-4935

Fax

(715) 524-4943

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174640478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ALPINE COURT",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662511",
            "telephone_number": "715-524-4935",
            "fax_number": "715-524-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ALPINE COURT",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662511",
            "telephone_number": "715-524-4935",
            "fax_number": "715-524-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSENS",
        "first_name": "RALPH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001466015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33352900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Hiltgen, RN
• Bobbie Crystal Hoffman
• Megan Hoffman, LPC-IT
• Lisa Rae Hoger, APNP
• Hailey May Hooker
• Julie Christine Hunkel
• Ashley Huntington
• Cornelius W Hyzer Jr., MD
• Kristy Imig
• Melanie Jacobsen

• General Practice Dentistry in Shawano, WI
• Providers in Shawano, 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 Jul 8, 2007; 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.