Allison E Woytych, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1002309-15 Issued in WI

Practice address

625 Walnut Ridge Dr Ste 102
Hartland, WI 53029-8803

Phone

(262) 367-4255

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Allison E Stephans 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.

• Smith Dental West

  • General Practice Dentistry
  • Hartland, WI
  • NPI 1003936279
  NPD

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1417573296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 BOND DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605108685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WALNUT RIDGE DR STE 102",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298803",
            "telephone_number": "262-367-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYTYCH",
        "first_name": "ALLISON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002309-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "STEPHANS",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wisconsin Orthopedic Physical Therapy
• Gregory C Wochos
• Maleah Wohletz
• Melissa Lynn Worden
• Colleen Marie Worth, DNP, APNP, FNP-BC
• Tehya Wright
• Samuel Seunghoon Yoon, M.D.
• Karen Young, CADC III, CCS-G
• Katrina Ann Ziaja, RN
• Caitlin Bliss Ziegler, LPC

• Dentist in Hartland, WI
• Providers in Hartland, 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, 2020; 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.