Individual provider Active NPI

Janae Marie Momchilovich, DDS

  • General Practice Dentistry
  • Osceola, WI
National Provider Identifier
1891374500
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6001286-15 Issued in WI
Practice address
PO Box 159
Osceola, WI 54020-0159
Phone
(715) 294-2202
Fax
(715) 294-9995
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D14936 MN
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 6001286-15 WI Primary

Addresses

Primary practice location

PO Box 159
Osceola, WI 54020-0159

Mailing address

PO Box 159
Osceola, WI 54020-0159
Phone (715) 294-2202

Other practice location 1

1371 7th St W
Saint Paul, MN 55102-4205
Phone (651) 222-0351

Other practice location 2

4500 S Lancaster Rd # 160
Dallas, TX 75216-7167
Phone (214) 857-2292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D14936MNMDGeneral Practice Dentistry
6001286-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hauge Dental Care, LTD General Practice PastSince May 25, 2025 Accepting new patients
Associated Dentists General Practice PastSince Dec 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1891374500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200159",
            "telephone_number": "715-294-2202",
            "fax_number": "715-294-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200159",
            "telephone_number": "715-294-2202",
            "fax_number": "715-294-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1371 7th St W",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551024205",
            "country_code": "US",
            "telephone_number": "651-222-0351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 S Lancaster Rd # 160",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752167167",
            "country_code": "US",
            "telephone_number": "214-857-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMCHILOVICH",
        "first_name": "JANAE",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14936",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001286-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.