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GL LA CROSSE DENTAL CLINIC
NPI 1164080099
Clinic/Center - Dental in La Crosse, WI

Active since June 05, 2019
201 3RD ST N, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2021, Jul 17, 2019, Jun 5, 2019 (3 updates tracked since 2019).

About Gl La Crosse Dental Clinic NPPES

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

GL LA CROSSE DENTAL CLINIC (NPI 1164080099) is a healthcare organization registered as a dental in La Crosse, Wisconsin and active in the NPI registry since June 2019. The organization lists Kari B Adank, Cco, as its authorized official.

NPPES Registry Identity

NPI1164080099
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGUNDERSEN CLINIC LTD
Location Address201 3RD ST NLa Crosse, WI 54601-3208
Mailing Address201 N 3rd StLa Crosse, WI 54601-3208 · (608) 782-7300
Phone(608) 782-7300
Organization SubpartYes
Authorized OfficialKari B AdankCco · (608) 775-8025
Enumeration DateJune 5, 2019
Last NPPES UpdateAugust 6, 20213 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1164080099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
201 3RD ST N, La Crosse, WI 54601
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Other Names 1

Other NameGl La Crosse Dental Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gl La Crosse Dental Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20200910003127DME · Oral Surgery - DentistDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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.

DR. DONNA MARIE HECKER DDS, MS
Dentist (Prosthodontics)
201 3RD ST N
LA CROSSE, WI 54601
La Crosse County (608) 775-2202
JINGQI JIA DDS
Dentist (Pediatric Dentistry)
201 3RD ST N
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
RACHEL LYNN BAUTZMANN DDS
Dentist (Prosthodontics)
201 3RD ST N
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL ERMOLAOS DINOS DDS
Dentist (Periodontics)
201 3RD ST N
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

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 Gundersen Clinic Ltd's NPI number?

The NPI number for Gundersen Clinic Ltd is 1164080099. It was assigned to this organization in the NPPES registry on June 5, 2019. The provider is also known as Gl La Crosse Dental Clinic.

Where is Gundersen Clinic Ltd located?

Gundersen Clinic Ltd is located at 201 3rd St N, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Gundersen Clinic Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Gundersen Clinic Ltd enrolled in Medicare?

Yes. Gundersen Clinic Ltd is registered in the Medicare PECOS enrollment system.

When is Gundersen Clinic Ltd's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Wisconsin, Oral Surgery - Dentist) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Gundersen Clinic Ltd accept?

Health plans from Aspirus Health Plan and Quartz list Gundersen Clinic Ltd 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 Gundersen Clinic Ltd was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.