PAUL JOSEPH CONGDON D.D.S.
NPI 1457474306
Dentist - General Practice in Hudson, WI

Active since April 07, 2007PECOS Enrolled
1102 BEALL ST, HUDSON, WI 54016(715) 386-3675(715) 386-0985 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Joseph Congdon D.d.s. NPPES

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

PAUL JOSEPH CONGDON D.D.S. (NPI 1457474306) is an individual general practice provider in Hudson, Wisconsin, licensed in Wisconsin (3247-015) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota School Of Dentistry (1982).

NPPES Registry Identity

NPI1457474306
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePAUL JOSEPH CONGDONCredential: D.D.S.
Location Address1102 BEALL STHudson, WI 54016-2060
Mailing Address1102 Beall StHudson, WI 54016-2060 · (715) 386-3675 · Fax (715) 386-0985
Fax(715) 386-0985
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota School Of DentistryGraduated 1982
Enumeration DateApril 7, 2007
Last NPPES UpdateMarch 19, 2015
NPI 1457474306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 3247-015
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1102 BEALL ST, Hudson, WI 54016

Other Identifiers 1

Medicaid33463900WI

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)

Paul Joseph Congdon D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143733204
PECOS Enrollment IDI20250701003655
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 54016 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.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Dental)
1102 BEALL ST
HUDSON, WI 54016
Midwife, Lay
1102 BEALL ST
HUDSON, WI 54016

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 Paul Congdon's NPI number?

The NPI number for Paul Congdon is 1457474306. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Paul Congdon located?

Paul Congdon practices at 1102 Beall St, Hudson, WI 54016. The listed phone number is (715) 386-3675.

What is Paul Congdon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Paul Congdon enrolled in Medicare?

Yes. Paul Congdon is registered in the Medicare PECOS enrollment system.

What insurance does Paul Congdon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Paul Congdon 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 Paul Congdon was last updated on March 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.