Individual provider Active NPI

Jessica Lorinne Romano, DDS

  • Dentist
  • Mount Pleasant, WI
National Provider Identifier
1114610102
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6001200-15 Issued in WI
Practice address
1101 S Airline Rd
Mount Pleasant, WI 53406-3888
Phone
(262) 637-9203
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6001200-15 WI Primary

Addresses

Primary practice location

1101 S Airline Rd
Mount Pleasant, WI 53406-3888

Mailing address

1101 S Airline Rd
Mount Pleasant, WI 53406-3888
Phone (262) 637-9371

Other names 1

  • Jessica Lorinne Hanson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6001200-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Racine Dental Center LLC Dentist CurrentSince Feb 2, 2025 Accepting new patients
Kenosha Family Dentistry PastSince Aug 25, 2024 Accepting new patients
Susan M. Cable, DDS, SC PastSince Jul 2, 2023 Accepting new patients

Locations

1101 S Airline Rd
Mount Pleasant, WI 53406
Phone (262) 333-3744

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1114610102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S AIRLINE RD",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063888",
            "telephone_number": "262-637-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S AIRLINE RD",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063888",
            "telephone_number": "262-637-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "JESSICA",
        "middle_name": "LORINNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001200-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HANSON",
            "middle_name": "LORINNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.