Brieanne M Laberge, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

727215 Issued in WI

Practice address

464 Water St
Prairie Du Sac, WI 53578-1127

Phone

(608) 643-3855

NPI assigned

Jun 17, 2014

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagleview Dental Office

  • General Practice Dentistry
  • Prairie Du Sac, WI
  • NPI 1669549044
  NPD (past)
• Szmanda Dental Center

  • Dentist
  • Wausau, WI
  • NPI 1598911802
  NPD (past)
• Szmanda Dental Center, SC

  • Dentist
  • Wausau, WI
  • NPI 1942379805
  NPD (past)

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1043624034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535780126",
            "telephone_number": "608-643-3855",
            "fax_number": "608-643-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 WATER ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781127",
            "telephone_number": "608-643-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABERGE",
        "first_name": "BRIEANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "727215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breana Kirch
• Bruce M Koch, OD
• Kristin Kolodziej, ATC
• Carly Marie Kraemer, LAT
• Alicia C Krizan
• Yuen Sim Lai, PHARM D
• Michael D. C. Lamson, M.D.
• Katherine Ann Larson, MD
• Wendy Marie Ledesma, MD
• Kerri Michele Lehman, PH.D.

• Dentist in Prairie Du Sac, WI
• Providers in Prairie Du Sac, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.