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DANIEL R BOETTCHER DDS
NPI 1801889043
Dentist in Manitowoc, WI

Active since August 23, 2005PECOS Enrolled
1503 RANDOLPH CT, MANITOWOC, WI 54220(920) 682-0321(920) 682-3128 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel R Boettcher Dds NPPES

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

DANIEL R BOETTCHER DDS (NPI 1801889043) is an individual dentist in Manitowoc, Wisconsin, licensed in Wisconsin (4609) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801889043
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDANIEL R BOETTCHERCredential: DDS
Location Address1503 RANDOLPH CTManitowoc, WI 54220-8345
Mailing Address1503 Randolph CtManitowoc, WI 54220-8345 · (920) 682-0321 · Fax (920) 682-3128
Phone(920) 682-0321
Fax(920) 682-3128
Sole ProprietorNo
Enumeration DateAugust 23, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801889043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 4609
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.
1503 RANDOLPH CT, Manitowoc, WI 54220
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Other Identifiers 1

Medicaid33727300WI

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 ›

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 R 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 54220 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 5

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

DR. CLAIRE TROULLIER DDS
Dentist
1503 RANDOLPH CT
MANITOWOC, WI 54220
Manitowoc County (920) 860-6841
DENTAL PARK SC
Clinic/Center (Dental)
1503 RANDOLPH CT
MANITOWOC, WI 54220
Manitowoc County (920) 682-0321
PETER MICHAEL HANSON DDS
Dentist
1503 RANDOLPH CT
MANITOWOC, WI 54220
Manitowoc County (920) 682-0321
DR. STEVEN M GRODDY DDS
Dentist
1503 RANDOLPH CT
MANITOWOC, WI 54220
Manitowoc County (920) 682-0321
MATTHEW R CULLIGAN DDS
Dentist
1503 RANDOLPH CT
MANITOWOC, WI 54220
Manitowoc County (920) 682-0321

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 1801889043. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Daniel Boettcher located?

Daniel Boettcher practices at 1503 Randolph Ct, Manitowoc, WI 54220. The listed phone number is (920) 682-0321.

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.

What insurance does Daniel Boettcher 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 Delta Dental of Wisconsin, Inc. and 5 other insurers list Daniel Boettcher 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 Daniel Boettcher was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.