Active NPI
Jennifer Lee Hinshaw, DMD, FAGD
- Dentist
- Middleton, WI
National Provider Identifier
1356355564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001141-15
- 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, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150417000842 | MA | Order and Referring Only - Dentist | 2668790981 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21114 | MA | MD | Dentist |
| DEN03317 | RI | MD | Dentist |
| 6001141-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applewhite Dental Wisconsin, P.C. | Dentist | Current | Accepting new patients |
| Nelson Family Dental P.C. | General Practice | Past | Accepting new patients |
| James Lord DDS ,SC | General Practice | Past | 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.
-
dba Foxridge Dental
- General Practice Dentistry
- Middleton, WI
- NPI 1679127856
-
- General Practice Dentistry
- Middleton, WI
- NPI 1801181698
-
- General Practice Dentistry
- Attleboro, MA
- NPI 1295054203
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.