Individual provider Active NPI

Aaron John Bushong, D.D.S.

  • General Practice Dentistry
  • Wausau, WI
National Provider Identifier
1871813329
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6524-15 Issued in WI
Practice address
301 N 17TH Ave Ste 200
Wausau, WI 54401-4225
Phone
(715) 842-3933
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
General Practice Dentistry 1223G0001X 6524-15 WI Primary

Addresses

Primary practice location

301 N 17TH Ave Ste 200
Wausau, WI 54401-4225

Mailing address

301 N 17TH Ave Ste 200
Wausau, WI 54401-4225
Phone (715) 842-3933

Other practice location 1

2805 Libal St Ste B
Green Bay, WI 54301-2888
Phone (920) 339-9013

Other practice location 2

1052 Bel Aire Ct
Green Bay, WI 54304-5015
Phone (920) 499-2121

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160323001818 WI Order and Referring Only - DentistPractitioner - Dentist 9537466222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6524WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Park Smiles LLC General Practice Current Accepting new patients
Sleep Health Wisconsin LLC Durable Medical Equipment & Medical Supplies PastSince Dec 20, 2022 Accepting new patients
Quirt Family Dentistry, SC General Practice Past Accepting new patients

Locations

1052 Bel Aire Ct
Green Bay, WI 54304
Phone (920) 499-2121

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1871813329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 17TH AVE STE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014225",
            "telephone_number": "715-842-3933",
            "fax_number": "715-848-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 17TH AVE STE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014225",
            "telephone_number": "715-842-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Libal St Ste B",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543012888",
            "country_code": "US",
            "telephone_number": "920-339-9013",
            "fax_number": "920-339-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1052 Bel Aire Ct",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543045015",
            "country_code": "US",
            "telephone_number": "920-499-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHONG",
        "first_name": "AARON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6524-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.