Active NPI
Lucas J Peppler, DDS
- Dentist
- La Crosse, WI
National Provider Identifier
1497433924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001268-15
- Practice address
- 3143 State Rd Ste 100
La Crosse, WI 54601-6964 - Phone
- (608) 788-0030
- NPI assigned
- Jul 5, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 6001268-15 | WI | MD | Dentist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6001268-15 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3143 State Rd Ste 100
La Crosse, WI 54601-6964
Mailing address
805 Angel CT Unit 22
Holmen, WI 54636-2402
Phone (920) 299-6712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 5, 2023.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1497433924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 ANGEL CT UNIT 22",
"city": "HOLMEN",
"state": "WI",
"postal_code": "546362402",
"telephone_number": "920-299-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3143 STATE RD STE 100",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546016964",
"telephone_number": "608-788-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPLER",
"first_name": "LUCAS",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001268-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.