Individual provider Active NPI

Tammy J Whitt-Sylfest, DENTAL HYGENIEST

  • Dental Hygienist
  • Lakewood, WI
National Provider Identifier
1508347808
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
3817 Issued in WI
Practice address
15397 State Highway 32
Lakewood, WI 54138-9702
Phone
(715) 276-6321
Fax
(715) 276-1428
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 3817 WI Primary

Addresses

Primary practice location

15397 State Highway 32
Lakewood, WI 54138-9702

Mailing address

PO Box 179
Lakewood, WI 54138-0179
Phone (715) 276-6321

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Lakes Community Health Center, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1508347808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "LAKEWOOD",
            "state": "WI",
            "postal_code": "541380179",
            "telephone_number": "715-276-6321",
            "fax_number": "715-276-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15397 STATE HIGHWAY 32",
            "city": "LAKEWOOD",
            "state": "WI",
            "postal_code": "541389702",
            "telephone_number": "715-276-6321",
            "fax_number": "715-276-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT-SYLFEST",
        "first_name": "TAMMY",
        "middle_name": "J",
        "credential": "DENTAL HYGENIEST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "3817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.