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Dr. Peter Hancovsky , DDS

Dentist - General Practice β€’ Pewaukee, WI

Active NPI 1689466120 Individual Practitioner Male Practitioner
Practice location in NPPES

135 Capitol Dr
Pewaukee, WI 530722401

Call 2626913931 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

135 Capitol Dr

Pewaukee, WI 530722401

Telephone 2626913931
Organization at the Same NPPES Address or Phone
Wisconsin Dental Group, S.c. Facility NPI 1740938299

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

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; 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pewaukee and Wisconsin

20 active clinicians are listed under Dentist - General Practice with a practice address in Pewaukee, WI (2,308 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pewaukee

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WI 6001803-15

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

Clinicians Sharing This Practice Address or Phone

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

2 listed
Dr. Jeffrey Niedziela , DDS

Dentist - General Practice

NPI 1164436614

Doctor of Dental Surgery

Dr. Richard Razdolsky , DDS

Dentist - General Practice

NPI 1154812881

Doctor of Dental Surgery

Career & Practice History

NPI enumerated May 20, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2025 to August 2026.

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NPI Administrative Meta

NPI Number: 1689466120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2025
Last Update: May 20, 2025
Sole Proprietor: No

Other Dentist - General Practices in Pewaukee

All Dentist - General Practices in Pewaukee

Mailing Address

135 Capitol Dr

Pewaukee, WI 530722401

Phone: 2626913931

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.