Active NPI
Donna Jean Amelse, RDH
- Dental Hygienist
- Wilton, WI
National Provider Identifier
1720337157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10873-016
- Practice address
- 701 Packard St
Wilton, WI 54670-7730 - Phone
- (608) 343-6684
- Fax
- (608) 435-6905
- NPI assigned
- Aug 30, 2012
- Last updated
- Aug 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10873-016 | WI | Primary |
Addresses
Primary practice location
701 Packard St
Wilton, WI 54670-7730
Mailing address
S5465 County Road SS
Viola, WI 54664-8035
Other names 1
- Ms. Donna Jean Caskey
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10873-016 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1720337157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S5465 COUNTY ROAD SS",
"city": "VIOLA",
"state": "WI",
"postal_code": "546648035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PACKARD ST",
"city": "WILTON",
"state": "WI",
"postal_code": "546707730",
"telephone_number": "608-343-6684",
"fax_number": "608-435-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMELSE",
"first_name": "DONNA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "10873-016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "CASKEY",
"middle_name": "JEAN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wilton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.