Active NPI
Cheyenne M Atkinson
- Dental Hygienist
- Fort Atkinson, WI
National Provider Identifier
1225881998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1161316
- Practice address
- 520 Handeyside LN
Fort Atkinson, WI 53538-1277 - Phone
- (920) 563-4372
- Fax
- (920) 563-4374
- NPI assigned
- Apr 10, 2024
- Last updated
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1161316 | WI | Primary |
Addresses
Primary practice location
520 Handeyside LN
Fort Atkinson, WI 53538-1277
Mailing address
2960 Kegonsa Dr
Summit, WI 53066-4824
Phone (920) 650-1096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1161316 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1225881998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 KEGONSA DR",
"city": "SUMMIT",
"state": "WI",
"postal_code": "530664824",
"telephone_number": "920-650-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 HANDEYSIDE LN",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381277",
"telephone_number": "920-563-4372",
"fax_number": "920-563-4374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "CHEYENNE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "1161316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.