West Prairie Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEST PRAIRIE DENTAL LLC

Practice address

2630 Ironwood Dr
Sun Prairie, WI 53590-8830

Phone

(608) 837-7842

Fax

(608) 318-8787

NPI assigned

Jul 23, 2025

Organization subpart

No

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

Authorized official

Name

Kelsey Laufenberg

Title

Office Manager

Phone

(608) 837-7842

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Goblirsch, DDS

  • General Practice Dentistry
  • Sun Prairie, WI
  • NPI 1538882295
  NPD
• Tanner J. McKenna, D.D.S.

  • General Practice Dentistry
  • Sun Prairie, WI
  • NPI 1033111513
  NPD
• Mark Olsen, DDS

  • Dentist
  • Sun Prairie, WI
  • NPI 1730353277
  NPD
• Brooke Ashley Zerbian, DDS

  • General Practice Dentistry
  • Sun Prairie, WI
  • NPI 1639869431
  NPD

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1124900907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 IRONWOOD DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535908830",
            "telephone_number": "608-837-7842",
            "fax_number": "608-318-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 IRONWOOD DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535908830",
            "telephone_number": "608-837-7842",
            "fax_number": "608-318-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PRAIRIE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "LAUFENBERG",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "608-837-7842"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Weger
• Christine Ann Weisensel, OTA
• Judy Ann Weishan, OTR
• Donnette Weiterman, LMT
• Kya Lee Wellnitz, LPN
• Alec Brandon West, MS, MFT-IT, SAC
• Sarah N Westby, PA-C
• Courtney Westover, DDS
• Westside Dental
• Elise Wheeler, DDS

• General Practice Dentistry in Sun Prairie, WI
• Providers in Sun Prairie, 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 Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.