Active NPI
Ethan Paul Tetting, DDS
- Dentist
- Appleton, WI
National Provider Identifier
1659206159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 600222115
- Practice address
- 9 Tri Park Way
Appleton, WI 54914-1661 - Phone
- (920) 882-5500
- NPI assigned
- Jun 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 600222115 | WI | Primary |
Addresses
Primary practice location
9 Tri Park Way
Appleton, WI 54914-1661
Mailing address
2141 N McCarthy Rd Apt 2
Appleton, WI 54913-9063
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1659206159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 N MCCARTHY RD APT 2",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 TRI PARK WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549141661",
"telephone_number": "920-882-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TETTING",
"first_name": "ETHAN",
"middle_name": "PAUL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "600222115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.