Theresa Adamczyk, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001079-15 Issued in WI

Practice address

550 City Ctr
Oshkosh, WI 54901-4830

Phone

(920) 731-7445

Fax

(920) 651-3485

NPI assigned

Jun 1, 2015

Last updated

May 15, 2024By the provider in NPPES

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: No
• Power mobility devices: No
• Hospice: No

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

• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Waupaca, WI
  • NPI 1689294159
  NPD (past)
• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Oshkosh, WI
  • NPI 1770103236
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1962882308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 W GRANDE MARKET DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138442",
            "telephone_number": "920-731-7445",
            "fax_number": "920-882-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CITY CTR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014830",
            "telephone_number": "920-731-7445",
            "fax_number": "920-651-3485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5471 W Waterford Ln",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138510",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "fax_number": "920-731-7490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 W Fulton St",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811471",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "fax_number": "534-429-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5337 W Grande Market Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138442",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "fax_number": "920-882-2946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMCZYK",
        "first_name": "THERESA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001079-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alan Randy Acuna, MSW, APSW
• Abdulmajid Adam
• Samantha Adams
• Paul A. Adamski
• Adaptive Counseling LLC
• Advance Therapy Center Inc
• Advanced Care Smile Center SC

• General Practice Dentistry in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.