Active NPI
Rachel Bohn, DDS
- Dentist
- Muskego, WI
National Provider Identifier
1457083586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 600003815
- Practice address
- S63W13660 Janesville Rd
Muskego, WI 53150-2713 - Phone
- (414) 425-9393
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 600003815 | WI | Primary |
Addresses
Primary practice location
S63W13660 Janesville Rd
Muskego, WI 53150-2713
Mailing address
11511 W Godsell Ave
Hales Corners, WI 53130-1821
Phone (262) 707-7854
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
| License | State | Type | Specialty |
|---|---|---|---|
| 600003815 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1457083586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 W GODSELL AVE",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301821",
"telephone_number": "262-707-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S63W13660 JANESVILLE RD",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531502713",
"telephone_number": "414-425-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "RACHEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "600003815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskego, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.