Melissa Joan Gunther, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10366 Issued in WI

Practice address

730 Swede Avenue
Turtle Lake, WI 54889-3400

Phone

(715) 986-2599

Fax

(715) 986-2521

NPI assigned

Jul 14, 2023

Last updated

Jul 14, 2023By the provider in NPPES

Sex

Female

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

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.

• The Lakes Community Health Center, Inc

  dba Northlakes Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Turtle Lake, WI
  • NPI 1033569124
  NPD (past)
• The Lakes Community Health Center, Inc

  dba NorthLakes Community Clinic

  • Federally Qualified Health Center (FQHC)
  • White Lake, WI
  • NPI 1679983423
  NPD (past)

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1205515418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15735 W US HIGHWAY 63",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436475",
            "telephone_number": "715-934-0710",
            "fax_number": "715-598-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SWEDE AVENUE",
            "city": "TURTLE LAKE",
            "state": "WI",
            "postal_code": "548893400",
            "telephone_number": "715-986-2599",
            "fax_number": "715-986-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTHER",
        "first_name": "MELISSA",
        "middle_name": "JOAN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Dorwin, PTA
• Kyra Mackenzie Engquist, PA-C
• Lisa Anne Erickson, APNP
• Marissa Frances Gavioli, PT
• Clair Gille
• John Avery Halberg, RPH
• Impact Rd Services LLC (IMPACT Wellness)
• James Pharmacy - Turtle Lake LTD (James Pharmacy LTD)
• Jacob Jensen
• Donna Lynn Johnson, PMHNP-BC, FNP-BC

• Dental Hygienist in Turtle Lake, WI
• Providers in Turtle Lake, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.