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Dr. Ian Alexander Niccum , DMD

Dentist - General Practice β€’ Appleton, WI

Active NPI 1497481063 Individual Practitioner Male Practitioner
Practice location in NPPES

W6261 Neubert Rd
Appleton, WI 54913

Call 9209541110 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

W6261 Neubert Rd

Appleton, WI 54913

Telephone 9209541110
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Greenville, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $100.26 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

79 active clinicians are listed under Dentist - General Practice with a practice address in Appleton, WI (2,305 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

0% of these 79 clinicians have the CMS telehealth indicator.

0% of these 79 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $100.26.

Manufacturer Payment Nature Product Type Amount ($)
Straumann USA LLC
Food and Beverage
Cash or cash equivalent
β€” General $100.26

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WI 6000061-15

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Secondary Practice Locations

N1734 Lily Of The Valley Dr

Greenville, WI 549429044

Phone: 9202892440

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Trenton Paffenroth , DMD

Dentist - General Practice

NPI 1619386208

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 14, 2025

Registered at W6261 NEUBERT RD, APPLETON, WI 54913 (Tel: 9209541110)

πŸ“
Updated Business Mailing Address April 14, 2025

Registered at W7030 BLUEBLUFF WAY, GREENVILLE, WI 549429783 (Tel: 2177221737)

🏒
Secondary Practice Location Registered April 14, 2025

Additional practice office at N1734 Lily Of The Valley Dr, Greenville, WI 549429044

βœ…
NPI Profile Active July 26, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 26, 2022

Registered at N1734 LILY OF THE VALLEY DR, GREENVILLE, WI 549429044 (Tel: 9202892440)

πŸ“
Business Mailing Address (Initial Record) July 26, 2022

Registered at 1843 PALISADES DR, APPLETON, WI 549151026 (Tel: 2177221737)

πŸ‘€
Provider Name / Credentials (Initial Record) July 26, 2022

Recorded as IAN NICCUM, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2022

Dentist (license number reported to NPPES: WI 6000061-15)

🟒
Initial NPI Registration & Enumeration July 26, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497481063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2022
Last Update: April 14, 2025
Sole Proprietor: No

Other Dentist - General Practices in Appleton

All Dentist - General Practices in Appleton

Mailing Address

W7030 Bluebluff Way

Greenville, WI 549429783

Phone: 2177221737

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.