Rebecca Ann Willfahrt

Primary specialty

DentistTaxonomy code 122300000X

License

100266-15 Issued in WI

Practice address

306 W McMillan St
Marshfield, WI 54449-6013

Phone

(715) 387-1702

NPI assigned

Jun 8, 2021

Sex

Female

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

Practice roles

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.

• Dental Clinic of Marshfield SC

  • Dentist
  • Marshfield, WI
  • NPI 1699724815
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1376110247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MCMILLAN ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544496013",
            "telephone_number": "715-387-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MCMILLAN ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544496013",
            "telephone_number": "715-387-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLFAHRT",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "100266-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Wild, M.D.
• Carley Wilharm, OTR/L
• Alyssa Wilhelm
• Juliet J Will, OT
• Richard Jonathan Willes, M.D.
• Monte Willkom, PT
• Patti M Willkom, OTR
• Justin L. Willuweit, CRNA
• Donna M Wilson, MD
• Jessica Wilson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.