Mary Claire Kiernan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6001312-15 Issued in WI

Practice address

8920 W Connell CT Suite 310
Milwaukee, WI 53226

Phone

(414) 266-2040

NPI assigned

Jun 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Maryclaire Kiernan Other name

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1366127607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 GIDDINGS AVE",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605215000",
            "telephone_number": "630-956-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 W CONNELL CT SUITE 310",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-266-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "MARY CLAIRE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033087",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001312-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYCLAIRE",
            "last_name": "KIERNAN",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexandra Kiehnau, OTR/L
• Martha Marilyn Kiel, PT, DPT
• Michaela Kiel, MD
• Caroline Kielczewski, MS, CGC
• Jonathan Patrick Kiermayr, DO
• Ellie Rose Kiese, RN
• Tracy Kiesler, SAC-IT
• Lesley Kiesling, LPC-IT
• Andrea M Kietzke, NP
• Andy Kieu, D.O

• Dentist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.