MACKENZIE DEDERICH
NPI 1467185371
Student in an Organized Health Care Education/Training Program in Mukwonago, WI

Q: What is Mackenzie Dederich's NPI number?

The NPI number for Mackenzie Dederich is 1467185371. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Q: What is Mackenzie Dederich's specialty?

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

Active since July 07, 2022

214 S ROCHESTER ST, MUKWONAGO, WI 53149(262) 363-2220 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mackenzie Dederich NPPES

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

MACKENZIE DEDERICH (NPI 1467185371) is an individual student in an organized health care education/training program in Mukwonago, Wisconsin and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1467185371

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMACKENZIE DEDERICH

Location Address214 S ROCHESTER STMukwonago, WI 53149-1612

Mailing Address6330 W Greenfield Ave Apt 408West Allis, WI 53214-5073

Phone(262) 363-2220

Sole ProprietorNo

Enumeration DateJuly 7, 2022

NPPES CertifiedJuly 7, 2022

✔ NPI 1467185371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

214 S ROCHESTER ST, Mukwonago, WI 53149

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

WISCONSIN DENTAL GROUP, S.C.

Dentist (General Practice)

214 S ROCHESTER ST
MUKWONAGO, WI 53149

Waukesha County (414) 209-0337

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 Mackenzie Dederich's NPI number?

The NPI number for Mackenzie Dederich is 1467185371. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Mackenzie Dederich located?

Mackenzie Dederich practices at 214 S Rochester St, Mukwonago, WI 53149. The listed phone number is (262) 363-2220.

What is Mackenzie Dederich's specialty?

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

What insurance does Mackenzie Dederich accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Companion Life Insurance Company and 7 other insurers list Mackenzie Dederich 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 Mackenzie Dederich was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.