Active NPI
Ashley Ann Bauknecht, RDH
- Dental Hygienist
- Lac Du Flambeau, WI
National Provider Identifier
1225291867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10198
- Practice address
- 450 Old Abe Rd
Lac Du Flambeau, WI 54538-9682 - Phone
- (715) 588-4280
- NPI assigned
- Jul 3, 2008
- Last updated
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10198 | WI | Primary |
Addresses
Primary practice location
450 Old Abe Rd
Lac Du Flambeau, WI 54538-9682
Mailing address
450 Old Abe Rd
Lac Du Flambeau, WI 54538-9682
Phone (715) 588-4280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33822100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10198 | WI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lac Du Flambeau Band of Lake Superior Chippewa Indians | Past | Accepting new patients | |
| Lac Du Flambeau Band of Lake Superior Chippewa Indians | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Peter Christensen Health Center
- Federally Qualified Health Center (FQHC)
- Lac Du Flambeau, WI
- NPI 1134235047
-
dba Family Resource Center
- Federally Qualified Health Center (FQHC)
- Lac Du Flambeau, WI
- NPI 1306016563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1225291867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 OLD ABE RD",
"city": "LAC DU FLAMBEAU",
"state": "WI",
"postal_code": "545389682",
"telephone_number": "715-588-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 OLD ABE RD",
"city": "LAC DU FLAMBEAU",
"state": "WI",
"postal_code": "545389682",
"telephone_number": "715-588-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUKNECHT",
"first_name": "ASHLEY",
"middle_name": "ANN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "10198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33822100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lac Du Flambeau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.