Active NPI
Jacqueline Graber Belter, D.D.S.
- Dentist
- Oshkosh, WI
National Provider Identifier
1295852432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5208
- Practice address
- 212 Ohio St
Oshkosh, WI 54902-5884 - Phone
- (920) 235-0594
- Fax
- (920) 235-6029
- NPI assigned
- Mar 23, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5208 | WI | Primary |
Addresses
Primary practice location
212 Ohio St
Oshkosh, WI 54902-5884
Mailing address
212 Ohio St
Oshkosh, WI 54902-5884
Phone (920) 235-0594
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180216001429 | WI | Order and Referring Only - Dentist | 2769742543 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5208 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeview Dental S.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Oshkosh, WI
- NPI 1558584755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295852432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 OHIO ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549025884",
"telephone_number": "920-235-0594",
"fax_number": "920-235-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 OHIO ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549025884",
"telephone_number": "920-235-0594",
"fax_number": "920-235-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTER",
"first_name": "JACQUELINE",
"middle_name": "GRABER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "5208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
- Benjaminw W. Begley, M.D.
- Megan Michal Behm, RN, CTRS
- Jennifer M Bell, BSN-RN
- Michael Gerard Bell, D.D.S.
- Bella Vista Senior Care LLC
- Belville & Associates Chiropractic Clinic SC
- Belville Fletcher Chiropractic Office SC
- Joshua Andrew Belville, D.C.
- Kent Lydell Belville, DC
- Nicholas Morris Belville, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.