Individual provider Active NPI

Denis C Scharine, D.D.S.

  • General Practice Dentistry
  • Fremont, WI
National Provider Identifier
1033558481
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2944-015 Issued in WI
Practice address
403 Wolf River Dr
PO BX 500
Fremont, WI 54940-9038
Phone
(920) 446-2213
Fax
(920) 446-2215
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2944-015 WI Primary

Addresses

Primary practice location

403 Wolf River Dr
PO BX 500
Fremont, WI 54940-9038

Mailing address

403 Wolf River Dr
PO BX 500
Fremont, WI 54940-9038
Phone (920) 446-2213

Other identifiers 1

IdentifierTypeStateIssuer
1326105230MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2944-015WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1033558481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WOLF RIVER DR",
            "address_2": "PO BX 500",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409038",
            "telephone_number": "920-446-2213",
            "fax_number": "920-446-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WOLF RIVER DR",
            "address_2": "PO BX 500",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409038",
            "telephone_number": "920-446-2213",
            "fax_number": "920-446-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARINE",
        "first_name": "DENIS",
        "middle_name": "C",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2944-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326105230",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.