Katherine Eppolito, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6001511 Issued in WI

Practice address

1637 Main St
Onalaska, WI 54650-2853

Phone

(608) 781-3999

NPI assigned

May 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Valley Dental Center LLC

  • Dentist
  • Onalaska, WI
  • NPI 1316701865
  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1336998145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CARDINAL WAY",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429781",
            "telephone_number": "815-354-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502853",
            "telephone_number": "608-781-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPOLITO",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret J Ebert, NP
• Markus A Eckstein
• Eclectic Counseling
• Janis Lorraine Elder, LPC
• Endodontic Specialists of Lacrosse LTD
• Ivy L Erickson, PA-C
• Jacob L Erickson, DO
• Joel D Erickson, MD
• Mary C. Erickson, RPH
• Nancy L Erickson, MD

• Dentist in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.