Michelle Wu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001146-15 Issued in WI

Practice address

1001 N Gammon Rd Ste 1
Middleton, WI 53562-3874

Phone

(608) 831-5151

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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.

• Applewhite Dental Wisconsin, P.C.

  • General Practice Dentistry
  • Middleton, WI
  • NPI 1679127856
  NPD
• James Lord DDS ,SC

  • General Practice Dentistry
  • Middleton, WI
  • NPI 1801181698
  NPD (past)
• Lifetime Dental Care of Illinois, PC

  • General Practice Dentistry
  • Peoria, IL
  • NPI 1487866919
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1457965485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 DEVONSHIRE ST",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N GAMMON RD STE 1",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623874",
            "telephone_number": "608-831-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601516",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032878",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001146-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina R Witt
• Kathy Jo Witzig, LPC
• Katie A. Wodziak, OTR/L
• Derek L Wong, PHARM.D
• Laurie Ann Wood, MA, OTR
• Brian Robert Wussow, D.C.
• Reid C Wycoff, DDS
• Jingnan Xiao, M.D.
• Jennifer Ann Yessa-Kast, MSSW
• Youbloomcounseling LLC

• General Practice Dentistry in Middleton, WI
• Providers in Middleton, 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 Oct 23, 2025; 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.