Organization Active NPI

Wihlm Dental, LLC

  • General Practice Dentistry
  • Oshkosh, WI
National Provider Identifier
1871763920
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6146 Issued in WI
Legal business name
WIHLM DENTAL, LLC
Practice address
2530 W 9TH Ave
Oshkosh, WI 54904-8125
Phone
(920) 231-0060
NPI assigned
Mar 5, 2008
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Michelle A. WihlmNPI 1679771570
Title
Dentist
Phone
(920) 231-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6146 WI Primary

Addresses

Primary practice location

2530 W 9TH Ave
Oshkosh, WI 54904-8125

Mailing address

2530 W 9TH Ave
Oshkosh, WI 54904-8125
Phone (920) 231-0060

Other identifiers 1

IdentifierTypeStateIssuer
33818100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105001857 WI Part B Supplier - Clinic/Group Practice 8628405263 Receives reassigned benefits from 2 practitioners
Practice locations: Oshkosh, WI

National Provider Directory

National Provider Directory

Locations

2530 W 9th Ave
Oshkosh, WI 54904
Phone (920) 231-0060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1871763920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 W 9TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048125",
            "telephone_number": "920-231-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 W 9TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048125",
            "telephone_number": "920-231-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIHLM DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "WIHLM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "920-231-0060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33818100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.