Julia Kristine Machgan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

600153015 Issued in WI

Practice address

405 W Prairie View Rd
Chippewa Falls, WI 54729-3389

Phone

(715) 723-7175

NPI assigned

Jun 10, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Chippewa Dental, LLC

  • Dentist
  • Chippewa Falls, WI
  • NPI 1699288555
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1194567339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 W FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033811",
            "telephone_number": "715-559-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W PRAIRIE VIEW RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293389",
            "telephone_number": "715-723-7175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3203 Stein Blvd",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016946",
            "country_code": "US",
            "telephone_number": "715-835-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHGAN",
        "first_name": "JULIA",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "600153015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheresa L Lynch, PT
• Jami Marie Lyons, DNP, APNP
• M & L Patients Express LLC
• Frank Duncan Macdonald Jr., M.D.
• Randall Machalk, RN
• Stephanie Anne Macomber, C.O.T.A.
• Jessica Magur, PTA
• Tony Makary
• Susan Elizabeth Maki, LPC
• Uday B Manchala, DDS

• General Practice Dentistry in Chippewa Falls, WI
• Providers in Chippewa Falls, 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 Jun 10, 2024; 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.