Monica L. Dentino, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

198-156 Issued in WI

Practice address

3230 Old Lantern Dr
Brookfield, WI 53005-3016

Phone

(262) 783-7731

NPI assigned

Sep 28, 2010

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

Other identifiers 2

Other names 1

• Monica L. Dixon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edward J Tomasik & Associate Optometrists Inc.

  dba Layton Hearing Professionals

  • Customized Equipment (DME)
  • Cudahy, WI
  • NPI 1568639102
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1619286408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 OLD LANTERN DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053016",
            "telephone_number": "262-783-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 OLD LANTERN DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053016",
            "telephone_number": "262-783-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTINO",
        "first_name": "MONICA",
        "middle_name": "L.",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "198-156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00959860",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619286408",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "DIXON",
            "middle_name": "L.",
            "credential": "CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher John Demeulenaere, MBA PT
• Nicholas E Demuro, M.D.
• Bailey Denis
• Sean Denny, BCBA
• Dentino Dental Specialists (Dentino Pediatric Dentistry and Orthodontics)
• Jean Marie Deprey, OTD
• Dermatopathology of Wisconsin SC
• Kris Desotelle, PTA
• Lindsay Detienne
• Derritt James Dietlmeier

• Audiologist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.