Scion Dental

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SCION DENTAL

Practice address

10201 N Port Washington Rd
Mequon, WI 53092-5752

Phone

(262) 834-6130

Fax

(866) 413-6397

NPI assigned

Feb 12, 2014

Organization subpart

No

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

Authorized official

Name

Lisa A Sweeney

Title

Cfo/Secretary/Treasurer

Phone

(262) 834-6130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1134543101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925752",
            "telephone_number": "262-834-6130",
            "fax_number": "866-413-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCION DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO/SECRETARY/TREASURER",
        "authorized_official_telephone_number": "262-834-6130"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Schwab, PT, DPT
• Amy E Schwabe, L.P.C.
• Schwartz RX Inc. (Vital Care of Mequon)
• Gregor Nathanael Pau Schwarz, PHD
• Jenna Schwarz
• SE Professionals, S.C. (Premier Vision)
• Elizabeth Sehnert, PA-C
• Ruth Leona Seider, ATRBC, LPC
• Louis Steve Seno Jr., MD
• Jocelyn Marie Seppala, PA

• Preferred Provider Organization in Mequon, WI
• Providers in Mequon, WI by specialty
• Preferred Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.