What is Nicolet Derose's NPI number?

Nicolet Derose's National Provider Identifier (NPI) is 1194892166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicolet Derose's specialty?

Nicolet Derose is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).

Where is Nicolet Derose located?

Nicolet Derose's practice location on file with NPPES is 316 5th St, Racine, WI 53403-4606.

What is Nicolet Derose's phone number?

The practice phone number listed in the NPPES registry for Nicolet Derose is (262) 534-8662.

Is Nicolet Derose's NPI active?

Yes — Nicolet Derose's NPI (1194892166) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Nicolet Derose, D.D.S

NPI 1194892166 · Pediatric Dentistry · Racine, WI

Nicolet Derose, D.D.S is a Pediatric Dentistry provider in Racine, WI (NPI 1194892166).

Provider details

NPI number: 1194892166
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: D.D.S
Sex: Female
Sole proprietor: No
License: 2362 (WI)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 2362 (WI)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs 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

316 5th St

Racine, WI 53403-4606

Phone: (262) 534-8662

Street-level locationGet directions

More WI providers

Mailing address