Jonathon E Delf

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5966 Issued in WI

Practice address

23 W Humbird St
Rice Lake, WI 54868-1736

Phone

(715) 736-3500

NPI assigned

Mar 9, 2007

Sex

Male

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 and National Provider Directory roles.

• Arrowhead Family Dental

  • General Practice Dentistry
  • Rice Lake, WI
  • NPI 1417085093
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851422737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W HUMBIRD ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681736",
            "telephone_number": "715-736-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W HUMBIRD ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681736",
            "telephone_number": "715-736-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELF",
        "first_name": "JONATHON",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew A Daigle, CRNA
• William Danielson
• Alissa M Darker, NP
• David a. Sommerfeld Chiropractic, Inc.
• Gary R Degerman, MD
• Tia Marie Demers, PT, DPT
• Paula Marie Denn, PT
• Amber Derousseau, RBT
• Jacob Jon Desantis
• Diagnostic Radiology Associates of Wisconsin SC

• General Practice Dentistry in Rice Lake, WI
• Providers in Rice Lake, 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.