Frederick C. Prehn, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2930 Issued in WI

Practice address

413 Jefferson St
Wausau, WI 54403-5433

Phone

(715) 842-1270

Fax

(715) 848-2906

NPI assigned

Mar 1, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1972801934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 JEFFERSON ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035433",
            "telephone_number": "715-842-1270",
            "fax_number": "715-848-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 JEFFERSON ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035433",
            "telephone_number": "715-842-1270",
            "fax_number": "715-848-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREHN",
        "first_name": "FREDERICK",
        "middle_name": "C.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NPI NUMBER",
            "identifier": "1770660946",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Porath, RN
• Macy Mae Porlier, PHARMD
• Mayra Marcela Portillo Arias
• Melodie Kaye Possehl, FNP BC APNP
• Prehn Dental, LLC
• Daniel D Priebe, DO
• Joseph J Prillwitz, LPC
• Primary Connection Health Care, Inc.
• Primary Connection Healthcare, Inc.
• Priority Physical Therapy, Inc.

• Dentist in Wausau, WI
• Providers in Wausau, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.