Taylor Alexandra Lundquist, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002320-15 Issued in WI

Practice address

108 Chieftain St
Osceola, WI 54020-8110

Phone

(715) 294-2202

Fax

(715) 294-9995

NPI assigned

Jun 29, 2020

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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)
• Hauge Dental Care, LTD

  • General Practice Dentistry
  • Osceola, WI
  • NPI 1780724153
  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1417574179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200159",
            "telephone_number": "715-294-2202",
            "fax_number": "715-294-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHIEFTAIN ST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540208110",
            "telephone_number": "715-294-2202",
            "fax_number": "715-294-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "TAYLOR",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002320-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladd Memorial Hospital (Osceola Medical Center Osceola Clinic)
• Lakeland Health Services, Inc. (Lakeland Sleep & CPAP)
• Daniel Langenfeld, DPT
• Kasandra Marie Lassonde, CCC-SLP
• Jessica Lichman, PTA
• Jamie J Mason, MA, MFT
• Greg D Mattson, MD
• Debra Ann Melin, RN
• Reagan Memmer, OTR/L
• George Nathan Metropulos, DDS

• General Practice Dentistry in Osceola, WI
• Providers in Osceola, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.