Terence J Whitaker, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6001687-15 Issued in WI

Practice address

1810 N 2ND St
Wausau, WI 54403-3492

Phone

(715) 848-4884

Fax

(715) 845-5385

NPI assigned

Aug 3, 2009

Sex

Male

Sole proprietor

No

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

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

Locations

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.

• Primary Connection Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wausau, WI
  • NPI 1457370744

  Dentist

  Medicare reassignment NPD
• Affordable Dentistry Today, PC

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1205058666
  NPD (past)

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1982835302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N 2ND ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033492",
            "telephone_number": "715-848-4884",
            "fax_number": "715-845-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N 2ND ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033492",
            "telephone_number": "715-848-4884",
            "fax_number": "715-845-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "TERENCE",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001687-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288450",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William E Wessels Jr., MD
• Tamela Wessling, LPN
• John R Westberg, CRNA
• Lauren E Westermeier, RN
• Kristin J Whitaker, MD
• White Rose Plus, LLC
• Shane Wesley White
• Sha-Keya L Whitelow
• Anna Katherine Wicklund
• Jamie Wierzba

• 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 Sep 8, 2026; 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.