THERESA ADAMCZYK DDS
NPI 1962882308
Dentist - General Practice in Oshkosh, WI

Q: What is Theresa Adamczyk's NPI number?

The NPI number for Theresa Adamczyk is 1962882308. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Q: What is Theresa Adamczyk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Adamczyk was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 01, 2015PECOS Enrolled

550 CITY CTR, OSHKOSH, WI 54901(920) 731-7445(920) 651-3485 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Apr 24, 2020 (2 updates tracked since 2020).

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About Theresa Adamczyk Dds NPPES

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

THERESA ADAMCZYK DDS (NPI 1962882308) is an individual general practice provider in Oshkosh, Wisconsin, licensed in Wisconsin (1001079-15) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962882308

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameTHERESA ADAMCZYKCredential: DDS

Location Address550 CITY CTROshkosh, WI 54901-4830

Mailing Address5337 W Grande Market DrAppleton, WI 54913-8442 · (920) 731-7445 · Fax (920) 882-2946

Phone(920) 731-7445

Fax(920) 651-3485

Sole ProprietorNo

Enumeration DateJune 1, 2015

Last NPPES UpdateMay 15, 20242 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1962882308 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 · 1001079-15

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.

550 CITY CTR, Oshkosh, WI 54901

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Secondary Practice Locations 3

Location 1825 W Fulton StWaupaca, WI 54981-1471 · Phone (920) 731-7445 · Fax (534) 429-2778

Location 25471 W Waterford LnAppleton, WI 54913-8510 · Phone (920) 731-7445 · Fax (920) 731-7490

Location 35337 W Grande Market DrAppleton, WI 54913-8442 · Phone (920) 731-7445 · Fax (920) 882-2946

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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)

Theresa Adamczyk 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 54901 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 10

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

AMITOJ KAUR MAVI DDS

Dentist (General Practice)