Andrea Michelle Bertotto, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6047-015 Issued in WI

Practice address

1980 7TH St S
Wisconsin Rapids, WI 54494-6017

Phone

(715) 423-7160

NPI assigned

Nov 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Andrea M Bertotto, D.D.S., S.C.

  • Dentist
  • Wisconsin Rapids, WI
  • NPI 1194135582
  NPD (past) Authorized official
• Gerald M. Voelker D.D.S.

  • Dentist
  • Wisconsin Rapids, WI
  • NPI 1437367661
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1962684233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 SWIGGUM LN",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544578316",
            "telephone_number": "715-572-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 7TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946017",
            "telephone_number": "715-423-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOTTO",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6047-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bell, ARNP
• Karrie Renee Benda, MS,RD
• Casondra Rae Berding, LCSW
• Julie Berg, OTR,CHT
• Stephen Christopher Berg, APNP
• Kaitlyn Betts, COTA
• Christian Dyanne Biegel
• David William Bitter, D.C.
• Michele A Bjella
• Debra S. Black, OT

• All providers in Wisconsin Rapids, WI
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.