Active NPI
Janae Marie Momchilovich, DDS
- General Practice Dentistry
- Osceola, WI
National Provider Identifier
1891374500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6001286-15
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D14936 | MN | MD | General Practice Dentistry |
| 6001286-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hauge Dental Care, LTD | General Practice | Past | Accepting new patients |
| Associated Dentists | General Practice | Past | 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.
-
- General Practice Dentistry
- Osceola, WI
- NPI 1780724153
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1184770851
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.