Active NPI
Michael Chistopher Popelars, DMD
- General Practice Dentistry
- Chilton, WI
National Provider Identifier
1407295389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7094-15
- Practice address
- 1110 E Chestnut St
Chilton, WI 53014-1602 - Phone
- (920) 849-9667
- NPI assigned
- Jun 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7094-15 | WI | Primary |
Addresses
Primary practice location
1110 E Chestnut St
Chilton, WI 53014-1602
Mailing address
1110 E Chestnut St
Chilton, WI 53014-1602
Phone (920) 849-9667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 26, 2014 through Jun 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7094-15 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1407295389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 E CHESTNUT ST",
"city": "CHILTON",
"state": "WI",
"postal_code": "530141602",
"telephone_number": "920-849-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 E CHESTNUT ST",
"city": "CHILTON",
"state": "WI",
"postal_code": "530141602",
"telephone_number": "920-849-9667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPELARS",
"first_name": "MICHAEL",
"middle_name": "CHISTOPHER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-24",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "7094-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chilton, WI
- New Hope Center
- Orthopedic & Sports Medicine Specialists of Green Bay, SC
- Kaitlyn Jean Owens, OTR/L
- Carmen Marie Persaud, LPC CSAC CSIT
- Jane Carol Pleshek, NURSE PRACTITIONER
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
- Sherry Ann Pribbernow, RN
- Craig D Rabideau, CST
- Debra Ann Rollmann, REGISTERED NURSE
- Tricia Ronk, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.