Active NPI
Jessica Short, DDS
- Pediatric Dentistry
- Marshfield, WI
National Provider Identifier
1023861499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 60002055-15
- Practice address
- 1307 N Saint Joseph Ave
Marshfield, WI 54449-1340 - Phone
- (715) 221-5700
- NPI assigned
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 60002055-15 | WI | Primary |
Addresses
Primary practice location
1307 N Saint Joseph Ave
Marshfield, WI 54449-1340
Mailing address
1307 N Saint Joseph Ave
Marshfield, WI 54449-1340
Phone (715) 221-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240622000149 | MN | Order and Referring Only - Dentist | 8921541608 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1023861499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 N SAINT JOSEPH AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544491340",
"telephone_number": "715-221-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 N SAINT JOSEPH AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544491340",
"telephone_number": "715-221-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "60002055-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.