Individual provider Active NPI

Erika Gaudynski

  • Dental Hygienist
  • Racine, WI
National Provider Identifier
1689460453
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1002530 Issued in WI
Practice address
500 College Ave
Racine, WI 53403-1058
Phone
(262) 620-6997
NPI assigned
Apr 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 1002530 WI Primary

Addresses

Primary practice location

500 College Ave
Racine, WI 53403-1058

Mailing address

500 College Ave
Racine, WI 53403-1058
Phone (262) 620-6997

Other practice location 1

9220 66th St
Kenosha, WI 53142-8234
Phone (262) 484-8346

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
1002530WIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach 4 Healthy Teeth, LLC CurrentSince Jan 1, 2020 Accepting new patients
Michelle Fox, R.D.H.,S.C. Dental Hygienist Past Accepting new patients

Locations

500 College Ave
Racine, WI 53403
Phone (262) 620-6997

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1689460453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COLLEGE AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031058",
            "telephone_number": "262-620-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COLLEGE AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031058",
            "telephone_number": "262-620-6997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9220 66th St",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531428234",
            "country_code": "US",
            "telephone_number": "262-484-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUDYNSKI",
        "first_name": "ERIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "1002530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.