Individual provider Active NPI

Chloe Baker Wachowiacz, RDH

  • Dental Hygienist
  • Kenosha, WI
National Provider Identifier
1578440293
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
701005-16 Issued in WI
Practice address
9220 66TH St
Kenosha, WI 53142-8234
Phone
(262) 620-6997
NPI assigned
Aug 18, 2025
Last updated
Sep 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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 701005-16 WI Primary

Addresses

Primary practice location

9220 66TH St
Kenosha, WI 53142-8234

Mailing address

500 College Ave
Racine, WI 53403-1058
Phone (262) 620-6997

Other practice location 1

500 College Ave
Racine, WI 53403-1058
Phone (262) 620-6997

Other names 1

  • Chloe Baker Former name

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

LicenseStateTypeSpecialty
701005-16WIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach 4 Healthy Teeth, LLC CurrentSince Aug 25, 2025 Accepting new patients
Michelle Fox, R.D.H.,S.C. Dental Hygienist PastSince Aug 25, 2025 Accepting new patients

Locations

500 College Ave
Racine, WI 53403
Phone (262) 620-6997

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1578440293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COLLEGE AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031058",
            "telephone_number": "262-620-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 66TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428234",
            "telephone_number": "262-620-6997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 College Ave",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "WI",
            "postal_code": "534031058",
            "country_code": "US",
            "telephone_number": "262-620-6997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER WACHOWIACZ",
        "first_name": "CHLOE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "701005-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHLOE",
            "last_name": "BAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.