Sweet Smiles Mt. Pleasant LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SWEET SMILES MT. PLEASANT LLC

Practice address

1515 S Green Bay Rd
Mt Pleasant, WI 53406-4409

Phone

(262) 672-2393

NPI assigned

Jun 26, 2018

Last updated

Oct 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Radha Krishna Kurapati

Title

President

Phone

(262) 672-2393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1386139970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 S 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S GREEN BAY RD",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534064409",
            "telephone_number": "262-672-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET SMILES MT. PLEASANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "KURAPATI",
        "authorized_official_first_name": "RADHA KRISHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-672-2393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Sullivan, PT
• Theresa E Sullivan, D.O. , M.P.H
• Superior Medical Center LLC
• Samantha J Svendsen
• Jonathan Swartz, PT
• Lynn Swindall, ATC
• Dean Tajnai, NP
• Katherine Talbott
• Joseph Tate, DC
• Brynn Rose, Therese Tawwater, RBT

• General Practice Dentistry in Mount Pleasant, WI
• Providers in Mount Pleasant, 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 1, 2020; 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.