Individual provider Active NPI

Jacqueline R. Helgeson, DDS

  • General Practice Dentistry
  • Eau Claire, WI
National Provider Identifier
1821277583
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1892G Issued in WI
Practice address
3119 Golf Rd
Eau Claire, WI 54701-7006
Phone
(715) 834-5882
Fax
(715) 834-1988
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1892G WI Primary

Addresses

Primary practice location

3119 Golf Rd
Eau Claire, WI 54701-7006

Mailing address

3119 Golf Rd
Eau Claire, WI 54701-7006
Phone (715) 834-5882

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
1892GWIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cortney V, Decker, DDS General Practice Past Accepting new patients

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1821277583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017006",
            "telephone_number": "715-834-5882",
            "fax_number": "715-834-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017006",
            "telephone_number": "715-834-5882",
            "fax_number": "715-834-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELGESON",
        "first_name": "JACQUELINE",
        "middle_name": "R.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1892G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.