Individual provider Active NPI

Karolina Marika Danieliszyn, DMD

  • Dentist
  • Onalaska, WI
National Provider Identifier
1750178745
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6001838-15 Issued in WI
Practice address
1637 Main St
Onalaska, WI 54650-2853
Phone
(608) 781-3999
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 6001838-15 WI Primary

Addresses

Primary practice location

1637 Main St
Onalaska, WI 54650-2853

Mailing address

878 Longboat LN
Schaumburg, IL 60194-1317
Phone (630) 506-3168

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
6001838-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Dental Center LLC Dentist CurrentSince Apr 27, 2025 Accepting new patients

Locations

1637 Main St
Onalaska, WI 54650
Phone (608) 781-3999

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1750178745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 LONGBOAT LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601941317",
            "telephone_number": "630-506-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502853",
            "telephone_number": "608-781-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELISZYN",
        "first_name": "KAROLINA",
        "middle_name": "MARIKA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001838-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.