Mikaella Sabinash, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6000034-15 Issued in WI

Practice address

10521 N Port Washington Rd
Mequon, WI 53092-5584

Phone

(262) 241-2060

NPI assigned

Jun 20, 2022

Last updated

Jun 20, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1316678451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 ROSEDALE DR",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921358",
            "telephone_number": "414-218-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925584",
            "telephone_number": "262-241-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABINASH",
        "first_name": "MIKAELLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6000034-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Running, M.D.
• Heather Marie Russell
• Susan Ryack, PT
• Cathy E. Ryan, M.A.
• Stephan B. Ryan, AU.D. CCC-A
• Sacred Heart Rehabilitation Institute, Inc. (Ascension Sacred Heart Rehabilitation Hospital)
• Sacred Wandering / Sacred Path Practitioners
• Giovanna Safina
• Leena Saifuddin
• Sonia P Salazar, PA-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 Jun 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.