Courtney Kathryn Schulte-Wikan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09899 Issued in IA

Practice address

18 1St Ave NW
Waukon, IA 52172-1658

Phone

(563) 568-4528

NPI assigned

Jun 22, 2021

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 IA

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

Practice roles

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.

• Northeast Iowa Dental Professional Corporation

  • General Practice Dentistry
  • Waukon, IA
  • NPI 1720173990
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1609445840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 1ST AVE NW",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721658",
            "telephone_number": "563-568-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 1ST AVE NW",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721658",
            "telephone_number": "563-568-4528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Tower St",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "IA",
            "postal_code": "521597701",
            "country_code": "US",
            "telephone_number": "563-539-4651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTE-WIKAN",
        "first_name": "COURTNEY",
        "middle_name": "KATHRYN",
        "name_prefix": "Miss",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin W. Ross, MD
• Dustin Allen Rounds, D.C.
• RTG Medical
• Beth A Sadewasser, ARNP
• Sarah Schuknecht
• David Schwartz, MD
• Amy Schwartzhoff
• Chelsey Olga Sherburne, FNP-C
• Shopko Stores Operating Co LLC
• Morgan Leigh Smerud, OD

• General Practice Dentistry in Waukon, IA
• Providers in Waukon, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.