Sheboygan Family Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHEBOYGAN FAMILY DENTISTRY LLC

Doing business as

Korolewski Dental

Practice address

1407 N 8TH St Ste 101
Sheboygan, WI 53081-3400

Phone

(920) 458-8389

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 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

Mitch Weiland

Title

Senior Accountant

Phone

(608) 343-0818

Specialties & licenses 1

Addresses

Other names 1

• Korolewski Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Michael Korolewski, DDS

  • Dentist
  • Sheboygan, WI
  • NPI 1538238183
  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1508479676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 N 8TH ST STE 101",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813400",
            "telephone_number": "920-458-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N 8TH ST STE 101",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813400",
            "telephone_number": "920-458-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBOYGAN FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Korolewski Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheboygan County Health & Human Services
• Sheboygan County Health & Human Services
• Sheboygan County Health & Human Services
• Sheboygan County Young Men's Christian Association, Inc.
• Sheboygan Ear, Nose & Throat, S.C.
• Sheboygan Foot Care, LLC
• Sheboygan Healing Arts SC
• Sheboygan Internal Medicine Associates, SC
• Sheboygan Lung Specialists, SC
• Sheboygan Medical Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.