Individual provider Active NPI

Wendy Ruesch, RDH,CDHC

  • Dental Hygienist
  • Wisconsin Rapids, WI
National Provider Identifier
1366656985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
3090-016 Issued in WI
Practice address
184 2ND St N
Wisconsin Rapids, WI 54494-4162
Phone
(715) 421-8911
Fax
(715) 421-8962
NPI assigned
May 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 3090-016 WI Primary

Addresses

Primary practice location

184 2ND St N
Wisconsin Rapids, WI 54494-4162

Mailing address

3811 Parkland LN
Wisconsin Rapids, WI 54494-7546
Phone (715) 421-8911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3090-016WIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wood 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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366656985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 PARKLAND LN",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544947546",
            "telephone_number": "715-421-8911",
            "fax_number": "715-421-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 2ND ST N",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944162",
            "telephone_number": "715-421-8911",
            "fax_number": "715-421-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUESCH",
        "first_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "RDH,CDHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "3090-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.