Individual provider Active NPI

Jeffrey W. Orear, D.D.S.

  • Dentist
  • Peshtigo, WI
National Provider Identifier
1174656938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0003061 Issued in WI
Practice address
110 N Ogden Rd
Peshtigo, WI 54157-1730
Phone
(715) 582-4571
Fax
(715) 582-4986
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0003061 WI Primary

Addresses

Primary practice location

110 N Ogden Rd
Peshtigo, WI 54157-1730

Mailing address

110 N Ogden Rd
Peshtigo, WI 54157-1730
Phone (715) 582-4571

Other identifiers 1

IdentifierTypeStateIssuer
33448700MedicaidWI

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
I20160302002267 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446556377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003061WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian M Thielen Past Accepting new patients
Jeffrey W Orear DDS SC Dentist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174656938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N OGDEN RD",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571730",
            "telephone_number": "715-582-4571",
            "fax_number": "715-582-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N OGDEN RD",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571730",
            "telephone_number": "715-582-4571",
            "fax_number": "715-582-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREAR",
        "first_name": "JEFFREY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "0003061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33448700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peshtigo, WI

Sources for this page

Verify at the official NPI Registry.