Cheryl Bresnahan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4716 Issued in WI

Practice address

117 S 2ND St
Whitewater, WI 53190-1945

Phone

(262) 473-7217

NPI assigned

Oct 28, 2006

Last updated

Jul 8, 2007By 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

Enrolled in WI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063598449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W250S8985 CENTER DR",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039788",
            "telephone_number": "262-662-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S 2ND ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901945",
            "telephone_number": "262-473-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESNAHAN",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Stuart Besch, D.O.
• Ryatisima Tishara Blue, LPN
• Lesley Loraine Blum, OT
• Mikayla Lynn Boettner, APNP
• Lisa K Brellenthin, APNP
• Forrest Lee Bright, DNP
• Patricia Lee Bromley, PH.D.
• Brotoloc Inc. Outpatient Clinic (Brotoloc)
• Brotoloc Inc. Outpatient Clinic (Brotoloc)
• Brotoloc South, Inc.

• General Practice Dentistry in Whitewater, WI
• Providers in Whitewater, 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 8, 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.