Anthony Huizenga, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1002577-15 Issued in WI

Practice address

1414 N Taylor Dr Ste 230
Sheboygan, WI 53081-3090

Phone

(920) 453-5972

NPI assigned

Jun 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1346818184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N TAYLOR DR STE 230",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813090",
            "telephone_number": "920-453-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N TAYLOR DR STE 230",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813090",
            "telephone_number": "920-453-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZENGA",
        "first_name": "ANTHONY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002577-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel L Huber, PH.D.
• Michael Gene Huber, THAMA CADCIII
• Mark Charles Huberty, D.D.S.
• Kristine Carol Huenink
• Kathy J Hughes, LCSW
• Mitchell Dennis Hulbert, DPM
• Daniel Albert Humiston, D.D.S.
• Elliot Vincent Humiston, DDS
• Adam Huth, PHARM.D.
• Andrea Lin Igowsky, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.