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DANIEL RICHARD BOETTCHER DDS
NPI 1104619303
Dentist in Milwaukee, WI

Active since May 28, 2025PECOS Enrolled
2111 W WISCONSIN AVE APT 17, MILWAUKEE, WI 53233(920) 376-1478 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Daniel Richard Boettcher Dds NPPES

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

DANIEL RICHARD BOETTCHER DDS (NPI 1104619303) is an individual dentist in Milwaukee, Wisconsin, licensed in Wisconsin (6001804-15) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104619303
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDANIEL RICHARD BOETTCHERCredential: DDS
Location Address2111 W WISCONSIN AVE APT 17Milwaukee, WI 53233-1936
Mailing Address2111 W Wisconsin Ave Apt 17Milwaukee, WI 53233-1936 · (920) 376-1478
Phone(920) 376-1478
Sole ProprietorYes
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1104619303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6001804-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2111 W WISCONSIN AVE APT 17, Milwaukee, WI 53233
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Richard Boettcher Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Daniel Boettcher's NPI number?

The NPI number for Daniel Boettcher is 1104619303. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Daniel Boettcher located?

Daniel Boettcher practices at 2111 W Wisconsin Ave Apt 17, Milwaukee, WI 53233. The listed phone number is (920) 376-1478.

What is Daniel Boettcher's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Daniel Boettcher enrolled in Medicare?

Yes. Daniel Boettcher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Boettcher was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.