Dentistry With Dr M LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTISTRY WITH DR M LLC

Practice address

105 Warren St Ste 2
Beaver Dam, WI 53916-3012

Phone

(262) 833-7362

NPI assigned

Sep 6, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nidhi Mahajan, DMDNPI 1104563816

Title

General Dentist

Phone

(920) 887-1432

Specialties & licenses 1

Addresses

Other names 1

• Beaver Dam Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nidhi Mahajan, DMD

  • Dentist
  • Beaver Dam, WI
  • NPI 1104563816
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1003796285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WARREN ST STE 2",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163012",
            "telephone_number": "920-887-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WARREN ST STE 2",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163012",
            "telephone_number": "262-833-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY WITH DR M LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "920-887-1432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver Dam Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adaline Mae Dekraai, AUD, CCC-A
• Tami Joe Delisle, LPC, ATR-BC
• Wade Matthew Dennis, O.D.
• Emily Erin Dennison, D.P.T
• Kyle M Dennison, DPM
• Maria Derksen
• Lisa Lee Derr, LPC-IT
• Nicole A Devries, LPN
• Dodge County Chiropractic Service Corporation
• Dr S Zec SC

• Dental Clinic/Center in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.