Kenneth J. Waliszewski, DDS MS
NPI 1366589012ActiveIndividual· Dentist, Prosthodontics· Brookfield, WI
Opted out of Medicare from June 2016 to June 2028. Dentist, Prosthodontics (DDS MS) in Brookfield, Wisconsin, licensed in WI, with an NPI issued in January 2007.
Overview
| NPI | 1366589012 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS MS |
| Sole proprietor | Yes |
| NPI issued | Jan 31, 2007 |
| Last updated in NPPES | Jan 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 957G | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jun 24, 2016 – Jun 24, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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