Daniel R Boettcher, DDS
Daniel R Boettcher is a Dentist provider (Dentist) practicing in Manitowoc, WI, registered in the NPPES registry with NPI 1801889043 since 2005. The credential DDS stands for Doctor of Dental Surgery. Practices at Dental Park Sc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1801889043 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Daniel R Boettcher |
| Credential | DDS |
| Sex | Male |
| Practice address | 1503 RANDOLPH CT, Manitowoc, WI, 54220 |
| Phone | 9206820321 |
| Fax | 9206823128 |
| Enumeration date | 2005-08-23 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 4609 | WI |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33727300 | Medicaid | WI | — |
Copy-ready billing details
Provider: Daniel Boettcher, DDS NPI: 1801889043 Taxonomy: 122300000X (Dentist) Address: 1503 RANDOLPH CT, Manitowoc, WI, 54220
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386636959 | Dental Park Sc | Organization | Dental Clinic/Center | Manitowoc, WI |
| 1689666232 | Peter Hanson | Individual | Dentist | Manitowoc, WI |
| 1699768853 | Steven Groddy | Individual | Dentist | Manitowoc, WI |
| 1710970967 | Matthew Culligan | Individual | Dentist | Manitowoc, WI |
| 1043770266 | Claire Troullier | Individual | Dentist | Manitowoc, WI |
Verify this record
Cross-check NPI 1801889043 against the authoritative CMS record: view Daniel R Boettcher on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1801889043 active?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.