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Dr. Mitchell Lee Tschakert , DDS

Dentist - General Practice β€’ Superior, WI

Active NPI 1104682772 Individual Practitioner Male Practitioner
Practice location in NPPES

2222 E 5th St
Superior, WI 548803709

Call 7153945411 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

2222 E 5th St

Superior, WI 548803709

Telephone 7153945411
Fax 7153925086
Organization at the Same NPPES Address or Phone
Lake Superior Community Health Center Facility NPI 1063789022

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

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Carlton, MN; Duluth, MN. 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.

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

2024

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 Superior and Wisconsin

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Superior

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 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: 2024-06-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WI 6001547

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

4325 Grand Ave

Duluth, MN 558072730

Phone: 2186287035

210 3rd St

Carlton, MN 557187703

Phone: 2183363524

Clinicians Sharing This Practice Address or Phone

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

3 listed
Dr. Eric Elmquist , DDS

Dentist - General Practice

NPI 1366642449

Doctor of Dental Surgery

Dr. Eric Iwen , DDS

Dentist - General Practice

NPI 1871723593

Doctor of Dental Surgery

Dr. Thomas Linstroth , DDS

Dentist - General Practice

NPI 1033465687

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Business Mailing Address June 06, 2024

Registered at 2222 E 5TH ST, SUPERIOR, WI 548803709 (Tel: 7153921955)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Dentist (license number reported to NPPES: WI 6001547)

βœ…
NPI Profile Active February 22, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 22, 2024

Registered at 2222 E 5TH ST, SUPERIOR, WI 548803709 (Tel: 2187221497)

πŸ“
Business Mailing Address (Initial Record) February 22, 2024

Registered at 1509 N BROADWAY, WATERTOWN, SD 572016802 (Tel: 6055201736)

πŸ‘€
Provider Name / Credentials (Initial Record) February 22, 2024

Recorded as MITCHELL TSCHAKERT, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 22, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104682772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2024
Last Update: June 06, 2024
Sole Proprietor: Yes

Other Dentist - General Practices in Superior

All Dentist - General Practices in Superior

Mailing Address

2222 E 5th St

Superior, WI 548803709

Phone: 7153921955

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.