Active NPI
Nicole Renee Vossen, DDS
- Dentist
- Beloit, WI
National Provider Identifier
1902066038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6210015
- Practice address
- 1800 Huebbe Pkwy
Beloit, WI 53511 - Phone
- (608) 362-2911
- NPI assigned
- Jun 12, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6210015 | WI | Primary |
Addresses
Primary practice location
1800 Huebbe Pkwy
Beloit, WI 53511
Mailing address
1800 Huebbe Pkwy
Beloit, WI 53511
Phone (608) 362-2911
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170222001032 | WI | Order and Referring Only - Oral Surgery | 3678857455 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6210015 | WI | MD | Dentist |
Interoperability endpoints
- nicole.vossen.1@8439.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1902066038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HUEBBE PKWY",
"city": "BELOIT",
"state": "WI",
"postal_code": "53511",
"telephone_number": "608-362-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HUEBBE PKWY",
"city": "BELOIT",
"state": "WI",
"postal_code": "53511",
"telephone_number": "608-362-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSSEN",
"first_name": "NICOLE",
"middle_name": "RENEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6210015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beloit, WI
- Valerie J Vieth, LPC-IT
- Vision & Eye Health Associates, LLC (Eye Contact)
- Walter C Vogel, MD
- Vop Beloit LLC (Dimensions Living Beloit I)
- Vop Beloit LLC (Dimensions Living Beloit II)
- Judith D Wade, APNP
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2532)
- Wal-Mart Stores East, LP (Vision Center 30-2532)
- Walgreen Co (Walgreens #12136)
- Walgreen Co (Walgreens #06096)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.