Mark Edward Meisegeier, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

M2265456244200 Issued in WI

Practice address

520 Handeyside LN Ste 4
Fort Atkinson, WI 53538-1279

Phone

(920) 563-4372

NPI assigned

Nov 1, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rock River Community Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Atkinson, WI
  • NPI 1528244613
  NPD

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1194598151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HANDEYSIDE LN STE 4",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381279",
            "telephone_number": "920-563-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HANDEYSIDE LN STE 4",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381279",
            "telephone_number": "920-563-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISEGEIER",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "M2265456244200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie McDermott
• Jeffrey Patrick McGuire, MD
• Jonathan G McLaughlin, MD
• Darlene M Meiners, LPC
• Michelle C. Meinholz, OT
• Kimberly Metcalf, PTA
• Ronald K Meyer, M.D.
• Shane Meyer, COTA
• Shauna J Meyer, MD
• Alison Kaye Miles, RN

• Dental Hygienist in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.