Shelby Maahs, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002402-15 Issued in WI

Practice address

820 S Marquette Rd
Prairie Du Chien, WI 53821-2214

Phone

(608) 326-6886

Fax

(608) 326-4896

NPI assigned

Aug 8, 2020

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

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dental Associates of Prairie Du Chien PC

  • General Practice Dentistry
  • Prairie Du Chien, WI
  • NPI 1063515179
  NPD (past)

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1366052839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MARQUETTE RD",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212214",
            "telephone_number": "608-326-6886",
            "fax_number": "608-326-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MARQUETTE RD",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212214",
            "telephone_number": "608-326-6886",
            "fax_number": "608-326-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAHS",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2023-10-19",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002402-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Knapp Inc.
• Lori Knapp Richland Inc As Fiscal Agent
• Lund Family Chiropractic, Inc.
• Kari J Lund, D.C.
• Kyla Marie Luther, LPC-IT, CSAC, ICS
• Kimberly L Maceachern, SLP
• Bobbie J Mallat, PTA
• Paul C. Mariskanish, MD
• Colleen Martin, P.T.
• Nicole D Martin, SLP

• General Practice Dentistry in Prairie Du Chien, WI
• Providers in Prairie Du Chien, 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 Oct 19, 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.

Verify at the official NPI Registry.