Anne Elizabeth Hvizdak, RDH, CDHC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3187-016 Issued in WI

Practice address

3104 E Lake Helen Dr
Rosholt, WI 54473-8876

Phone

(715) 677-3509

Fax

(715) 677-3037

NPI assigned

May 24, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215148804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E LAKE HELEN DR",
            "city": "ROSHOLT",
            "state": "WI",
            "postal_code": "544738876",
            "telephone_number": "715-677-3509",
            "fax_number": "715-677-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 E LAKE HELEN DR",
            "city": "ROSHOLT",
            "state": "WI",
            "postal_code": "544738876",
            "telephone_number": "715-677-3509",
            "fax_number": "715-677-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HVIZDAK",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RDH, CDHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "3187-016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33806000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy M Graff
• Guardian Homes, Inc.
• Guardian Properties of Wisconsin (Community Care Services)
• Kristi Jo Lajeunesse, RN
• Rosholt Area Dental Clinic, LLC
• Rosholt School District
• Breann Marie Thornton, RN

• Dental Hygienist in Rosholt, WI
• Providers in Rosholt, 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 9, 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.