Shayna Rochelle Pearson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

5917-015 Issued in WI

Practice address

2569 6 1/2 Ave
Monroe, WI 53566-3203

Phone

(608) 328-8228

Fax

(608) 328-8230

NPI assigned

Apr 24, 2007

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

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.

Opted out of Medicare

Yes, effective Jan 13, 2020 through Jan 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1073732582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 6 1/2 AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535663203",
            "telephone_number": "608-328-8228",
            "fax_number": "608-328-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 6 1/2 AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535663203",
            "telephone_number": "608-328-8228",
            "fax_number": "608-328-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "SHAYNA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5917-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren M Palmer, APNP
• Joseph S. Panoske, D.D.S. S.C.
• Catherine Papendorf
• Mark George Patterson, D.O.
• Scott Bradford Patterson, D..D.S., M.S.
• Sunil Penesetti, MD
• Ching-Hsuan Peng, MS/CFY-SLP
• Katie E Perryman, PT, DPT
• Craig Alan Peterson, CRNA
• Lori F Phelps, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.