Reid C Wycoff, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6583-15 Issued in WI

Practice address

8333 Greenway Blvd Ste 380
Middleton, WI 53562-3687

Phone

(608) 442-3300

NPI assigned

Dec 1, 2005

Last updated

Jan 21, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 5, 2019 through Mar 5, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Endodontics

  • Endodontics
  • Madison, WI
  • NPI 1154435246
  NPD (past)
• Capital Endodontics LLC

  • Endodontics
  • Madison, WI
  • NPI 1184837296
  NPD (past)
• Family Dental Associates

  dba Rainbow Dental Center

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1528238995
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1629052840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 GREENWAY BLVD STE 380",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623687",
            "telephone_number": "608-442-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 GREENWAY BLVD STE 380",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623687",
            "telephone_number": "608-442-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCOFF",
        "first_name": "REID",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "6583-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie A. Wodziak, OTR/L
• Derek L Wong, PHARM.D
• Laurie Ann Wood, MA, OTR
• Michelle Wu
• Brian Robert Wussow, D.C.
• Jingnan Xiao, M.D.
• Jennifer Ann Yessa-Kast, MSSW
• Youbloomcounseling LLC
• Jennifer Yu
• Kimberly Lorraine Zahasky, RN

• Endodontics in Middleton, WI
• Providers in Middleton, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.