Patrick F Sweeney, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001363-015 Issued in WI

Practice address

910 Iowa Ave
Wisconsin Dells, WI 53965-1839

Phone

(608) 253-4701

Fax

(608) 254-2245

NPI assigned

Nov 14, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053483214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 IOWA AVE",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651839",
            "telephone_number": "608-253-4701",
            "fax_number": "608-254-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 IOWA AVE",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651839",
            "telephone_number": "608-253-4701",
            "fax_number": "608-254-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "PATRICK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001363-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38377200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Spady, PA-C
• Lori J Spencer, APNP
• SSM Health Care of Wisconsin Inc (SSM Health St Clare Wi Dells Clinic)
• Jennifer L Stremcha, R.D.
• Jeffrey Sveum
• Susan M Teschan-Hanson, PA-C
• Erin Elizabeth Tiedeman, LPCC, LADC, LAC
• Total Renal Care Inc (Lake Delton Dialysis)
• Travelmart Inc. (Travelmart Pharmacy)
• Amy Marie Voigt, PTA

• General Practice Dentistry in Wisconsin Dells, WI
• Providers in Wisconsin Dells, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.