Priyesha Modi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6001863-15 Issued in WI

Practice address

1260 Milton Ave Ste 140
Janesville, WI 53545-1890

Phone

(608) 757-0057

NPI assigned

Jun 18, 2025

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

Locations

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

• Familia Dental Janesville LLC

  • Dental Clinic/Center
  • Janesville, WI
  • NPI 1437508405
  NPD

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1073409694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PARK PL",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 MILTON AVE STE 140",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451890",
            "telephone_number": "608-757-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "PRIYESHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001863-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Minor, RDH
• Jessica J Mirek, PT
• Briana Marie Mitchell
• Danielle E Mitchell, M.D.
• Lauren M Mixtacki, M.D.
• Jason R. Moen, MD
• Tricia Moen
• Amen Mohamed, DDS
• Mustafa Abdul Waheed Mohammed, MD
• Selma Mohammedi, DMD

• Dentist in Janesville, WI
• Providers in Janesville, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.