Active NPI
Todd A Hehli, D.D.S.
- General Practice Dentistry
- Eau Claire, WI
National Provider Identifier
1922160498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4060
- Practice address
- 4607 Royal Dr
Eau Claire, WI 54701-2928 - Phone
- (920) 855-9220
- Fax
- (715) 855-9225
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4060 | WI | Primary |
Addresses
Primary practice location
4607 Royal Dr
Eau Claire, WI 54701-2928
Mailing address
4605 Royal Dr
Eau Claire, WI 54701-2928
Phone (920) 855-9220
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 |
|---|---|---|---|---|
| I20160222001027 | WI | Order and Referring Only - Other (Physician) | 1254636756 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4060 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Dental LLC | General Practice | Past | Accepting new patients |
| Smile Clinic - Manitowoc LLC | General Practice | Past | Accepting new patients |
| Oakpark Dental - Eau Claire | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Oconto, WI
- NPI 1285122895
-
- General Practice Dentistry
- Manitowoc, WI
- NPI 1285124024
-
- General Practice Dentistry
- Eau Claire, WI
- NPI 1699837138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922160498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 ROYAL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547012928",
"telephone_number": "920-855-9220",
"fax_number": "715-855-9225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4607 ROYAL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547012928",
"telephone_number": "920-855-9220",
"fax_number": "715-855-9225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEHLI",
"first_name": "TODD",
"middle_name": "A",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "4060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.