David Eugene Amundson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2287 Issued in WI

Practice address

1285 Rudy St
Suite 102
Onalaska, WI 54650-8580

Phone

(608) 781-8189

Fax

(608) 781-4977

NPI assigned

Apr 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801858659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 GROVE ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502011",
            "telephone_number": "608-783-6344",
            "fax_number": "608-781-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 RUDY ST",
            "address_2": "SUITE 102",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508580",
            "telephone_number": "608-781-8189",
            "fax_number": "608-781-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer P Althoff, MD
• Andrea Lynn Alvin
• Randy Ammerman
• Ams of Wisconsin
• Ams of Wisconsin, LLC
• Logan Andera, D.C.
• Carly Nicole Anderson, LPN
• John James Anderson, D.C.
• Lindsay Anderson
• Renata M Anderson, DC

• General Practice Dentistry in Onalaska, WI
• Providers in Onalaska, 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.