Active NPI
Macall Schmelzer, RDH
- Dental Hygienist
- Appleton, WI
National Provider Identifier
1508384033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1002906-16
- Practice address
- 4182 W Wisconsin Ave
Appleton, WI 54913-8652 - Phone
- (920) 734-4649
- Fax
- (715) 842-7331
- NPI assigned
- Sep 5, 2017
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1002906-16 | WI | Primary |
Addresses
Primary practice location
4182 W Wisconsin Ave
Appleton, WI 54913-8652
Mailing address
1128 Quincy St
Sturgeon Bay, WI 54235-1831
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 |
|---|---|---|---|
| 1002906-16 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1508384033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 QUINCY ST",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4182 W WISCONSIN AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138652",
"telephone_number": "920-734-4649",
"fax_number": "715-842-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMELZER",
"first_name": "MACALL",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "1002906-16",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.