Individual provider Active NPI

Rachael A Vogel, DDS

  • General Practice Dentistry
  • Mequon, WI
National Provider Identifier
1285781278
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5893 Issued in WI
Practice address
10555 N Port Washington Rd
Ste 101
Mequon, WI 53092-5582
Phone
(262) 241-4460
Fax
(920) 261-3632
NPI assigned
Jan 4, 2007
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1980 ND
General Practice Dentistry 1223G0001X 5893 WI Primary

Addresses

Primary practice location

10555 N Port Washington Rd
Ste 101
Mequon, WI 53092-5582

Mailing address

10555 N Port Washington Rd
Ste 101
Mequon, WI 53092-5582
Phone (262) 241-4460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030000492 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5991926255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1980NDMDGeneral Practice Dentistry
5893WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1285781278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 N PORT WASHINGTON RD",
            "address_2": "STE 101",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925582",
            "telephone_number": "262-241-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 N PORT WASHINGTON RD",
            "address_2": "STE 101",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925582",
            "telephone_number": "262-241-4460",
            "fax_number": "920-261-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "RACHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1980",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.