Laura Hibbard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100184615 Issued in WI

Practice address

1602 11TH St
Monroe, WI 53566

Phone

(608) 325-5464

NPI assigned

May 4, 2018

Last updated

Jun 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Haus of Monroe LLC

  • Dental Clinic/Center
  • Monroe, WI
  • NPI 1548804560
  NPD (past) Authorized official
• Armstrong Family Dental,LLC

  • Dental Clinic/Center
  • Monroe, WI
  • NPI 1770751315
  NPD (past)
• Mark J Maly Estate

  dba Mark Maly Dental

  • Dental Clinic/Center
  • Orangeville, IL
  • NPI 1649883364
  NPD (past)
• Verheecke Dental LLC

  dba Orangeville Dental Care

  • Dental Clinic/Center
  • Orangeville, IL
  • NPI 1215558390
  NPD (past)

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1548759574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 11TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535662002",
            "telephone_number": "608-325-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 11TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "53566",
            "telephone_number": "608-325-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 S Main St",
            "address_purpose": "LOCATION",
            "city": "Orangeville",
            "state": "IL",
            "postal_code": "610609244",
            "country_code": "US",
            "telephone_number": "815-789-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "LAURA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "100184615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Heilman, DPT
• Michele Maurice Helbing, M.D.
• Christina Marie Hendrickson, APRN
• Ralph Henry, OD
• Kelly M. Hesseling, N.P.
• Alyssa Kay Marie Hickmann, SLP
• Joan Ann Hilgendorf
• Nathaniel Hill, DO
• Michael V Hoeper, PT
• Brooke M Hoesly

• General Practice Dentistry in Monroe, WI
• Providers in Monroe, 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 Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.