Individual provider Active NPI

Frederick Charles Eichmiller, DDS

  • General Practice Dentistry
  • Mosinee, WI
National Provider Identifier
1750470290
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9550 Issued in MD
Practice address
3972 N Haymeadow Dr
Mosinee, WI 54455-9113
Phone
(715) 295-0426
Fax
(715) 344-9058
NPI assigned
Oct 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D9179 MN
General Practice Dentistry 1223G0001X 9550 MD Primary

Addresses

Primary practice location

3972 N Haymeadow Dr
Mosinee, WI 54455-9113

Mailing address

3972 N Haymeadow Dr
Mosinee, WI 54455-9113
Phone (715) 295-0426

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
9550MDMDGeneral Practice Dentistry
D9179MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750470290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 N HAYMEADOW DR",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544559113",
            "telephone_number": "715-295-0426",
            "fax_number": "715-344-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 N HAYMEADOW DR",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544559113",
            "telephone_number": "715-295-0426",
            "fax_number": "715-344-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHMILLER",
        "first_name": "FREDERICK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9179",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mosinee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.