Anne Lynette Hagenston, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6906-15 Issued in WI

Practice address

100 N Church St
Richland Center, WI 53581

Phone

(608) 647-3993

NPI assigned

Jun 19, 2012

Last updated

Jul 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Williams & Pearce Family Dental SC

  • Dentist
  • Richland Center, WI
  • NPI 1861455016
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1821351529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CHURCH ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812250",
            "telephone_number": "608-647-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CHURCH ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "53581",
            "telephone_number": "608-647-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENSTON",
        "first_name": "ANNE",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6906-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gundersen Clinic LTD (Gundersen Health System Richland Center Eye Clinic)
• Gundersen Clinic, LTD.
• Gundersen Lutheran Medical Center Inc
• Angela Hackl
• Christina Rose Hagele I, COTA
• Kara Hall, LCSW
• Rhonda Joyce Headings, R.N.
• Dorothy J Hege, R.N.
• Jerome J Hein, A.B.O/F.N.A.O
• Kelly Herbert, RDN

• General Practice Dentistry in Richland Center, WI
• Providers in Richland Center, 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 23, 2018; 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.