Northshore Smiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHSHORE SMILES, LLC

Practice address

10303 N Port Washington Rd Ste 103a
Mequon, WI 53092-5760

Phone

(262) 240-0405

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Aaron Bushong

Title

Dentist, Owner

Phone

(715) 573-3546

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.

• Don Anthony Stoiber, DDS

  • Dentist
  • Mequon, WI
  • NPI 1184812836
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1184359473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 N PORT WASHINGTON RD STE 103A",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 N PORT WASHINGTON RD STE 103A",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925760",
            "telephone_number": "262-240-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BUSHONG",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "715-573-3546"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Dental L.L.C.
• North Shore Dental, LLC
• North Shore Dermatology, S.C.
• North Shore Orthopaedics, SC
• Northshore Gynecology Associates
• Abigail Claire Nowakowski, PT, DPT
• Peggy Nowicki, J.D., M.S.
• Nye Psychotherapy
• Stacey Lynn Nye, PHD
• Jennifer Grimes O'Brien, M.ED., L.P.C.

• General Practice Dentistry in Mequon, WI
• Providers in Mequon, 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 Jul 20, 2022; 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.