Individual provider Active NPI

Wendy Beyer, R.D.H.

  • Dental Hygienist
  • Manawa, WI
National Provider Identifier
1588979587
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
5980-016 Issued in WI
Practice address
E7450 Little Creek Rd
Manawa, WI 54949-8824
Phone
(920) 538-0204
NPI assigned
Aug 13, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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 5980-016 WI Primary

Addresses

Primary practice location

E7450 Little Creek Rd
Manawa, WI 54949-8824

Mailing address

E7450 Little Creek Rd
Manawa, WI 54949-8824
Phone (920) 538-0204

Other names 1

  • Wendy Oltz 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
5980-016WIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1588979587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E7450 LITTLE CREEK RD",
            "city": "MANAWA",
            "state": "WI",
            "postal_code": "549498824",
            "telephone_number": "920-538-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E7450 LITTLE CREEK RD",
            "city": "MANAWA",
            "state": "WI",
            "postal_code": "549498824",
            "telephone_number": "920-538-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "WENDY",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5980-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "OLTZ",
            "credential": "R.D.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manawa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.