Olivia Louise Pogodzinski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002127 Issued in WI

Practice address

7020 W National Ave
Suite 100
West Allis, WI 53214

Phone

(414) 475-0588

Fax

(414) 475-1166

NPI assigned

Jul 8, 2019

Last updated

Aug 2, 2023By 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.

• Ahp 003 LLC

  dba All Kind Smiles

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1689487191
  NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1851953053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15285 WATERTOWN PLANK ROAD",
            "address_2": "SUITE 200",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-649-4900",
            "fax_number": "262-649-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 W NATIONAL AVE",
            "address_2": "SUITE 100",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "53214",
            "telephone_number": "414-475-0588",
            "fax_number": "414-475-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGODZINSKI",
        "first_name": "OLIVIA",
        "middle_name": "LOUISE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Pisula
• Ashley Placke
• Planned Parenthood of Wisconsin (Lincoln Plaza)
• Mark D Plumb, M.D.
• Catherine Jean Podolske, APSW
• Sonia Polston, APSW
• Nicole Susan Ponda, DPT
• Dominic Patrick Porubsky
• Carol Wiltse Potts, MD
• Kathleen Mary Powell Mattioli, MD

• General Practice Dentistry in West Allis, WI
• Providers in West Allis, 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 Aug 2, 2023; 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.