Taylor Marie McElwee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1002745-15 Issued in WI

Practice address

105 Kelly Way
Hortonville, WI 54944-8755

Phone

(920) 779-4982

NPI assigned

Feb 17, 2022

Last updated

Feb 17, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Otter Creek Dental, LLC

  • Dental Clinic/Center
  • Hortonville, WI
  • NPI 1265096812
  NPD (past)

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1871248849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 N 7TH ST APT 445",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011373",
            "telephone_number": "610-246-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KELLY WAY",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549448755",
            "telephone_number": "920-779-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELWEE",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002745-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Lesselyong, MS, CCC-SLP
• Courtney Linde, PT, DPT
• Rachael R Lindsey, DC
• Megan Lingenhag
• Joleen Linn
• Aubree Lynn Mindel
• Emily Anne Mooren, AU.D.
• Charles Lee Nieuwenhuis, D. C.
• Molly Oleson
• Orthopedic & Spine Therapy of New London, SC

• Dentist in Hortonville, WI
• Providers in Hortonville, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.