Andrea Lin Igowsky, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6559015 Issued in WI

Practice address

1313 N Taylor Dr
Sheboygan, WI 53081-3041

Phone

(920) 452-7336

Fax

(920) 453-9770

NPI assigned

Jul 27, 2010

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

Electronic endpoints 1

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 and National Provider Directory roles.

• Just Kids Dental SC

  • Pediatric Dentistry
  • Sheboygan, WI
  • NPI 1518972389
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1083928402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 N TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813041",
            "telephone_number": "920-452-7336",
            "fax_number": "920-453-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813041",
            "telephone_number": "920-452-7336",
            "fax_number": "920-453-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGOWSKY",
        "first_name": "ANDREA",
        "middle_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6559015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aigowsky12710@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1313 N Taylor Dr",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530813041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Huizenga, DMD
• Mitchell Dennis Hulbert, DPM
• Daniel Albert Humiston, D.D.S.
• Elliot Vincent Humiston, DDS
• Adam Huth, PHARM.D.
• Tochukwu Hilary Igwe, MD
• Ihc-St. Nicholas Emergency Physicians, LLC
• Ihc-Wound Care Services LLC
• Aimee Ingelse, PA-C
• Inspiring Minds - Pediatric Autism Consultation and Therapy, LLC

• Pediatric Dentistry in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.