What is Larry Nillissen's NPI number?

Larry Nillissen's National Provider Identifier (NPI) is 1518121284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larry Nillissen's specialty?

Larry Nillissen is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Larry Nillissen located?

Larry Nillissen's practice location on file with NPPES is 409a Main St, Birnamwood, WI 54414-0206.

What is Larry Nillissen's phone number?

The practice phone number listed in the NPPES registry for Larry Nillissen is (715) 449-3345.

Is Larry Nillissen's NPI active?

Yes — Larry Nillissen's NPI (1518121284) is active in the NPPES registry as of the last update on 2008-07-11.

IndividualActive

Larry Nillissen, DDS

NPI 1518121284 · Dentist · Birnamwood, WI

Larry Nillissen, DDS is a Dentist provider in Birnamwood, WI (NPI 1518121284).

Provider details

NPI number: 1518121284
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: WI2723 (WI)

Specialties & taxonomies

DentistPrimary122300000XLicense WI2723 (WI)
Dental Providers

Profile Score

Detailed profile(87/100 index)

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

Registry tenure38% of score
17 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

409a Main St

Birnamwood, WI 54414-0206

Phone: (715) 449-3345

Fax: (715) 449-3272

Street-level locationGet directions

More WI providers

Mailing address

Po Box 206