MITCHELL SEUBERT D.D.S.
NPI 1063946440
Student in an Organized Health Care Education/Training Program in Portage, WI

Active since April 12, 2017PECOS Enrolled
260 W COOK ST, PORTAGE, WI 53901(608) 742-2331 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mitchell Seubert D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL SEUBERT D.D.S. (NPI 1063946440) is an individual student in an organized health care education/training program in Portage, Wisconsin and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063946440
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMITCHELL SEUBERTCredential: D.D.S.
Location Address260 W COOK STPortage, WI 53901-2106
Mailing Address1211 N 60th St, Apt #410Wauwatosa, WI 53213-4161 · (608) 697-8899
Sole ProprietorNo
Enumeration DateApril 12, 2017
NPI 1063946440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

260 W COOK ST, Portage, WI 53901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mitchell Seubert D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
260 W COOK ST
PORTAGE, WI 53901
Dentist (General Practice)
260 W COOK ST
PORTAGE, WI 53901
Dentist (General Practice)
260 W COOK ST
PORTAGE, WI 53901
Dentist (General Practice)
260 W COOK ST
PORTAGE, WI 53901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Seubert's NPI number?

The NPI number for Mitchell Seubert is 1063946440. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Mitchell Seubert located?

Mitchell Seubert practices at 260 W Cook St, Portage, WI 53901. The listed phone number is (608) 742-2331.

What is Mitchell Seubert's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mitchell Seubert enrolled in Medicare?

Yes. Mitchell Seubert is registered in the Medicare PECOS enrollment system.

What insurance does Mitchell Seubert accept?

Health plans from Delta Dental of Wisconsin, Inc. list Mitchell Seubert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Seubert was last updated on April 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.