DR. KALI ROSE DISTERHOFT
NPI 1962073577
Dentist in Manitowoc, WI

Q: What is Kali Disterhoft's NPI number?

The NPI number for Kali Disterhoft is 1962073577. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Q: What is Kali Disterhoft's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kali Disterhoft was last updated on July 25, 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.

Active since July 06, 2021

33 E WALDO BLVD, MANITOWOC, WI 54220(920) 682-0115 Get Directions Write a Review

NPPES record last updated: July 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2021, Jul 14, 2021, Jul 6, 2021 (3 updates tracked since 2021).

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About Dr. Kali Rose Disterhoft NPPES

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

DR. KALI ROSE DISTERHOFT (NPI 1962073577) is an individual dentist in Manitowoc, Wisconsin, licensed in Wisconsin (1002654-15) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1962073577

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KALI ROSE DISTERHOFT

Location Address33 E WALDO BLVDManitowoc, WI 54220-2900

Mailing Address622 Pennsylvania Ave Unit 504Sheboygan, WI 53081-4662

Phone(920) 682-0115

Sole ProprietorNo

Enumeration DateJuly 6, 2021

Last NPPES UpdateJuly 25, 20213 updates tracked since enumeration

NPPES CertifiedJuly 25, 2021

✔ NPI 1962073577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in WI · 1002654-15✔ Licensed in IA · DDS-09919

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.

33 E WALDO BLVD, Manitowoc, WI 54220

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Accepted Insurance

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

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.

DR. KENNETH MARTIN HARTENIAN DMD

Dentist (Oral and Maxillofacial Surgery)

33 E WALDO BLVD
MANITOWOC, WI 54220

Manitowoc County (920) 684-3353

MDC MANITOWOC SC

Dentist (General Practice)

33 E WALDO BLVD
MANITOWOC, WI 54220

Manitowoc County (920) 682-0115

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 Kali Disterhoft's NPI number?

The NPI number for Kali Disterhoft is 1962073577. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Kali Disterhoft located?

Kali Disterhoft practices at 33 E Waldo Blvd, Manitowoc, WI 54220. The listed phone number is (920) 682-0115.

What is Kali Disterhoft's specialty?

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

What insurance does Kali Disterhoft accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Kali Disterhoft 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 Kali Disterhoft was last updated on July 25, 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.