Individual provider Active NPI

Dawn Faith Paffel, DDS

  • General Practice Dentistry
  • Appleton, WI
National Provider Identifier
1316238306
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6687-15 Issued in WI
Practice address
335 E Wisconsin Ave
Appleton, WI 54911-4821
Phone
(920) 734-1803
Fax
(920) 734-5790
NPI assigned
Apr 25, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 6687-15 WI Primary

Addresses

Primary practice location

335 E Wisconsin Ave
Appleton, WI 54911-4821

Mailing address

N8087 Deere Dr
Residence/Home
Sherwood, WI 54169
Phone (262) 212-0233

Other practice location 1

605 S 24th Ave
suite 10
Wausau, WI 54401-1705
Phone (715) 845-9238

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
I20161209000965 WI Order and Referring Only - DentistPractitioner - Dentist 2466732490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6687-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Appleton Dental Group LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316238306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8087 DEERE DR",
            "address_2": "RESIDENCE/HOME",
            "city": "SHERWOOD",
            "state": "WI",
            "postal_code": "54169",
            "telephone_number": "262-212-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114821",
            "telephone_number": "920-734-1803",
            "fax_number": "920-734-5790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S 24th Ave",
            "address_2": "suite 10",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544011705",
            "country_code": "US",
            "telephone_number": "715-845-9238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAFFEL",
        "first_name": "DAWN",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6687-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.