Nesic Dentl Lounge

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NESIC DENTL LOUNGE

Practice address

N71 W13040 W Appleton Avenue
Suite 200
Menomonee Falls, WI 53051

Phone

(815) 830-5729

NPI assigned

Jan 24, 2025

Last updated

Jan 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emily Rose Nesic, DMDNPI 1962010249

Title

Owner

Phone

(815) 830-5729

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Rose Nesic, DMD

  • Dentist
  • Lake Geneva, WI
  • NPI 1962010249
  NPD Authorized official

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1164234290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 SOUTHWIND DR UNIT 207",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474713",
            "telephone_number": "815-830-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N71 W13040 W APPLETON AVENUE",
            "address_2": "SUITE 200",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "53051",
            "telephone_number": "815-830-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESIC DENTL LOUNGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "NESIC",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-830-5729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Michelle Nelson, DNP, APRN, FNP-BC
• Karen Nelson, AU D
• Madeline Nicole Nelson
• Roseanne Nelson I, PT
• James David Nencka
• Sherry L Ness-Wenum, M.D.
• Daniel James Nettesheim, RPH
• Wayne Neumann
• Marie Santina Neville, PHARMD
• Garret Lee Newkirk, PHARM.D.

• Dental Clinic/Center in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.