Daniel Boettcher, DDS
NPI 1104619303 · Dentist · Milwaukee, WI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Boettcher, DDS is a Dentist provider in Milwaukee, WI (NPI 1104619303).
Provider details
- NPI number
- 1104619303
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6001804-15 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Daniel Boettcher's NPI number?
- Daniel Boettcher's National Provider Identifier (NPI) is 1104619303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Boettcher's specialty?
- Daniel Boettcher is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Daniel Boettcher located?
- Daniel Boettcher's practice location on file with NPPES is 2111 W Wisconsin Ave Apt 17, Milwaukee, WI 53233-1936.
- What is Daniel Boettcher's phone number?
- The practice phone number listed in the NPPES registry for Daniel Boettcher is (920) 376-1478.
- Does Daniel Boettcher accept Medicare?
- Daniel Boettcher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Boettcher's NPI active?
- Yes — Daniel Boettcher's NPI (1104619303) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.