Individual provider Active NPI

Chad Boers

  • General Practice Dentistry
  • Wausau, WI
National Provider Identifier
1891852943
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6013 Issued in WI
Practice address
1000 W Campus Dr
Wausau, WI 54401-1880
Phone
(715) 803-1332
NPI assigned
Jan 1, 2007
Last updated
Jan 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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 6013 WI Primary

Addresses

Primary practice location

1000 W Campus Dr
Wausau, WI 54401-1880

Mailing address

1401 Elm St Apt 118
Wausau, WI 54401-4733
Phone (715) 219-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20161215001302 GA Order and Referring Only - DentistPractitioner - Dentist 5395025076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6013WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Szmanda Dental Center, SC General Practice CurrentSince Aug 10, 2025 Accepting new patients
Northcentral Technical College Past Accepting new patients

Locations

227071 Hummingbird Rd
Rib Mountain, WI 54401
Phone (715) 845-3200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1891852943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ELM ST APT 118",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014733",
            "telephone_number": "715-219-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CAMPUS DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011880",
            "telephone_number": "715-803-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERS",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.