Kali Rose Disterhoft
Dentist · Manitowoc, WI
Kali Rose Disterhoft is a dentist with a practice address in Manitowoc, Wisconsin, and NPI 1962073577, issued on Jul 6, 2021. Check the license (Wisconsin 1002654-15, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kali Rose Disterhoft
- Primary taxonomy
- Dentist 122300000X
- License numbers
- 1002654-15 WI
DDS-09919 IA
Self-reported in NPPES; status is on the state search - Practice location
- 33 E Waldo Blvd, Manitowoc, WI 54220
- Phone
- (920) 682-0115
- Enumerated
- Jul 6, 2021
- Record last updated
- Jul 25, 2021 (not updated in 5 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest dentist records → All 1,750 in Wisconsin → Look up another NPI →
Also registered at 33 E Waldo Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kenneth Hartenian, DMDOral and Maxillofacial Surgery (Dentist)1396832028
Verify Kali Rose Disterhoft in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 1002654-15Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
63% fewer Medicare Part D claims than the average dentist in 2024
32 Medicare Part D claims for 27 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin16 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $32.48
5 payments; by number, the most common kind was food and beverage; the largest payer was Align Technology, Inc. The 31,974 providers of this specialty with any payment received $540.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kali Rose Disterhoft among 1,750 dentist records in Wisconsin
Kali Rose Disterhoft is one of 1,750 dentist records with a practice address in Wisconsin. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 80% of them.
- NPI issued2021 · 80% of these records are older, 18% newer
- In a Medicare fileYes · 60% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2021 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
19 dentist records list a practice address in Manitowoc
They are 19 of the 765 NPPES records with a practice address in Manitowoc, and 1,750 dentist records in Wisconsin.
All 1,750 in Wisconsin → Every provider in Manitowoc → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- William Bero, DDSManitowoc, WI 542201114031200
- Daniel Boettcher, DDSManitowoc, WI 542201801889043
- Sumit Chanana, D.M.D.Manitowoc, WI 542201396090734
- Matthew Culligan, DDSManitowoc, WI 542201710970967
- Steven Groddy, DDSManitowoc, WI 542201699768853
- Peter Hanson, DDSManitowoc, WI 542201689666232
- Christopher Kania, DDSManitowoc, WI 542201659431724
- Abbie Kershner, D.D.SManitowoc, WI 542201982999405
Common questions
What is Kali Rose Disterhoft's NPI number?
Kali Rose Disterhoft's National Provider Identifier (NPI) is 1962073577, issued on Jul 6, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Kali Rose Disterhoft located?
The NPPES record lists a practice address at 33 E Waldo Blvd, Manitowoc, WI, 54220. Phone: (920) 682-0115. Providers update this record themselves, so call before visiting.
How can I verify Kali Rose Disterhoft's license?
NPPES lists Wisconsin license number 1002654-15, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
How much does Kali Rose Disterhoft prescribe under Medicare Part D?
In 2024, Kali Rose Disterhoft had 32 Medicare Part D claims for 27 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.