Individual provider Active NPI

Jennifer Sinnen, D.D.S.

  • Pediatric Dentistry
  • Muskego, WI
National Provider Identifier
1144631698
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7236-15 Issued in WI
Practice address
S75W17289 Janesville Rd
Muskego, WI 53150-9375
Phone
(414) 285-5328
Fax
(414) 296-8686
NPI assigned
May 17, 2014
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 7236-15 WI Primary

Addresses

Primary practice location

S75W17289 Janesville Rd
Muskego, WI 53150-9375

Mailing address

5821 Woodland Hills Dr
Mount Pleasant, WI 53406-6302
Phone (262) 412-3743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901000143 WI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7113290776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7236-15WIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
LBJS SC CurrentSince Apr 21, 2024 Accepting new patients

Locations

S75W17289 Janesville Rd
Muskego, WI 53150
Phone (414) 285-5328

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1144631698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 WOODLAND HILLS DR",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066302",
            "telephone_number": "262-412-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S75W17289 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509375",
            "telephone_number": "414-285-5328",
            "fax_number": "414-296-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINNEN",
        "first_name": "JENNIFER",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-17",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "7236-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

Verify at the official NPI Registry.