Mary Panyk Oshiro, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

3527 Issued in WI

Practice address

3903 Douglas Ave
Racine, WI 53402-3230

Phone

(262) 639-1272

NPI assigned

Jun 4, 2008

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

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

Medicare enrollment (NPD)

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.

• Lakeshore Family Dental Care SC

  • Dentist
  • Racine, WI
  • NPI 1215058532
  NPD (past)

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1154580280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023230",
            "telephone_number": "262-639-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANYK OSHIRO",
        "first_name": "MARY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "3527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmo G Painter-Edington, LPC
• Nickey Lee Paison
• Debra Sue Palmer, DDS
• Richard E Palmer, DDS
• Eileen K Panacek, DDS
• Michael L. Papp, D.O.
• Camille A. Paquette-Schulgit, M.D.
• Irene Louise Parent, D.C.
• Anthony J Park, MD
• Byung H. Park, M.D.

• Dentist in Racine, WI
• Providers in Racine, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.