Lisa Rachel Piontek, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4647 Issued in WI

Practice address

526 S Monroe Ave
Green Bay, WI 54301-4018

Phone

(920) 448-7340

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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 WI

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

Locations

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.

• Primary Connection Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wausau, WI
  • NPI 1457370744
  Medicare reassignment NPD
• Howe Community Resource Center

  • Case Management Agency
  • Green Bay, WI
  • NPI 1891142030
  NPD (past)
• Howe Dental Room

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1073794582
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710191085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 PARKWOOD DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041811",
            "telephone_number": "920-499-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S MONROE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014018",
            "telephone_number": "920-448-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIONTEK",
        "first_name": "LISA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gauri Shailesh Pikale, MD
• Pine Grove Senior Living LLC
• Pine View Dental, LLC
• Christopher Pinn, MD
• Lisa M Piontek, MSN APNP NNP-BC
• Mary-Clare Piontek, RPH
• Rachel Alexis Piontek, OTR/L
• Bethany J Piotrowski
• Heather J Piotrowski, CRNA
• Joshua T Piotrowski, M.D. PH.D.

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.