Individual provider Active NPI

Jennifer Lee Hinshaw, DMD, FAGD

  • Dentist
  • Middleton, WI
National Provider Identifier
1356355564
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6001141-15 Issued in WI
Practice address
1001 N Gammon Rd Ste 1
Middleton, WI 53562-3874
Phone
(608) 831-5151
Fax
(608) 831-3194
NPI assigned
Jul 27, 2006
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21114 MA
Dentist 122300000X DEN03317 RI
Dentist 122300000X 6001141-15 WI Primary
General Practice Dentistry 1223G0001X 6001141-15 WI

Addresses

Primary practice location

1001 N Gammon Rd Ste 1
Middleton, WI 53562-3874

Mailing address

4826 Breakers Rock Rd
Middleton, WI 53597-8833
Phone (774) 254-4329

Other names 1

  • Dr. Jennifer Lee Gregorio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150417000842 MA Order and Referring Only - DentistPractitioner - Dentist 2668790981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21114MAMDDentist
DEN03317RIMDDentist
6001141-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Applewhite Dental Wisconsin, P.C. Dentist CurrentSince Jun 11, 2023 Accepting new patients
Nelson Family Dental P.C. General Practice Past Accepting new patients
James Lord DDS ,SC General Practice PastSince Jun 11, 2023 Accepting new patients

Locations

1001 N Gammon Rd
Ste 1
Middleton, WI 53562
Phone (608) 831-5151

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1356355564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 BREAKERS ROCK RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535978833",
            "telephone_number": "774-254-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N GAMMON RD STE 1",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623874",
            "telephone_number": "608-831-5151",
            "fax_number": "608-831-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSHAW",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD, FAGD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21114",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03317",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001141-15",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001141-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GREGORIO",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "DMD, FAGD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.