Individual provider Active NPI

Alison Blegen Below, D.M.D.

  • Dentist
  • West Bend, WI
National Provider Identifier
1275927170
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13497 Issued in MN
Practice address
1006 S Main St
West Bend, WI 53095-4604
Phone
(414) 708-9722
NPI assigned
Mar 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13497 MN Primary

Addresses

Primary practice location

1006 S Main St
West Bend, WI 53095-4604

Mailing address

W63N757 Sheboygan Rd
Cedarburg, WI 53012-1339
Phone (414) 708-9722

Other practice location 1

1734 Thierer Rd
Madison, WI 53704-3718
Phone (608) 244-6888

Other names 1

  • Alison Blegen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13497MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental Specialists, LLC PastSince Mar 13, 2022 Accepting new patients
Wisconsin Dental Group, S.C. Dentist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275927170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W63N757 SHEBOYGAN RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121339",
            "telephone_number": "414-708-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S MAIN ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954604",
            "telephone_number": "414-708-9722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1734 Thierer Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537043718",
            "country_code": "US",
            "telephone_number": "608-244-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELOW",
        "first_name": "ALISON",
        "middle_name": "BLEGEN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "BLEGEN",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.