Active NPI
Emily Andre, DMD, NMD, IBDM
- General Practice Dentistry
- Menomonie, WI
National Provider Identifier
1659682409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6724-15
- Practice address
- 109 Oak Ave
Menomonie, WI 54751-1363 - Phone
- (715) 600-9004
- NPI assigned
- Jun 27, 2010
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 18986 | FL | |
| General Practice Dentistry | 1223G0001X | 6724-15 | WI | Primary |
| General Practice Dentistry | 1223G0001X | 13029 | MN |
Addresses
Primary practice location
109 Oak Ave
Menomonie, WI 54751-1363
Mailing address
109 Oak Ave
Menomonie, WI 54751
Phone (715) 600-9004
Other practice location 1
N6428 Commerce Ln
Arkansaw, WI 54721-9230
Phone (715) 230-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160726003303 | WI | Order and Referring Only - Oral Surgery | 0648563783 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 18986 | FL | MD | General Practice Dentistry |
| 6724-15 | WI | MD | General Practice Dentistry |
| 13029 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Dental Care SC | General Practice | Current | Accepting new patients |
Locations
109 Oak Ave
Menomonie, WI 54751
1813 Wilson St NE
Menomonie, WI 54751
Phone (715) 235-7566
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Menomonie, WI
- NPI 1215484423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1659682409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 OAK AVE",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "54751",
"telephone_number": "715-600-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 OAK AVE",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547511363",
"telephone_number": "715-600-9004"
}
],
"practiceLocations": [
{
"address_1": "N6428 Commerce Ln",
"address_purpose": "LOCATION",
"city": "Arkansaw",
"state": "WI",
"postal_code": "547219230",
"country_code": "US",
"telephone_number": "715-230-3838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDRE",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "DMD, NMD, IBDM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-27",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 18986",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6724-15",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "13029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.