Individual provider Active NPI

Kurt Richard Hulse, D.D.S.

  • General Practice Dentistry
  • Onalaska, WI
National Provider Identifier
1881728400
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4250-015 Issued in WI
Practice address
1840 E Main St
Onalaska, WI 54650-7709
Phone
(608) 783-1306
Fax
(608) 783-2874
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4250-015 WI Primary

Addresses

Primary practice location

1840 E Main St
Onalaska, WI 54650-7709

Mailing address

1840 E Main St
Onalaska, WI 54650-7709
Phone (608) 783-1306

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160325000467 WI Order and Referring Only - Other (Non-Physician) 3173820768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4250-015WIMDGeneral Practice Dentistry
4250WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kurt R. Hulse, D.D.S., S.C. Current Accepting new patients

Locations

1840 E Main St
Onalaska, WI 54650
Phone (608) 783-1306

Organizations & group practices 1

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1881728400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546507709",
            "telephone_number": "608-783-1306",
            "fax_number": "608-783-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546507709",
            "telephone_number": "608-783-1306",
            "fax_number": "608-783-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "KURT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4250-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

Verify at the official NPI Registry.