Laura T Sengbusch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6557-15 Issued in WI

Practice address

1250 Prairie St
Prairie Du Sac, WI 53578-2041

Phone

(608) 643-8505

Fax

(608) 643-8097

NPI assigned

Jul 13, 2010

Last updated

Jul 13, 2010By the provider in NPPES

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

• Village Family Dental Assocs.

  • General Practice Dentistry
  • Prairie Du Sac, WI
  • NPI 1407831209
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1689986184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PRAIRIE ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782041",
            "telephone_number": "608-643-8505",
            "fax_number": "608-643-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PRAIRIE ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782041",
            "telephone_number": "608-643-8505",
            "fax_number": "608-643-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGBUSCH",
        "first_name": "LAURA",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6557-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sauk Prairie Healthcare Inc (Sauk Prairie Healthcare Campus Clinic)
• Sauk Prairie Healthcare Inc
• Sauk Prairie Internal Medicine, LTD.
• Alicia Schaefer
• Justin T. Schroeder, CRNA
• Sandhya V Shah, MD
• David E Sisbach, CRNA
• Emily J Smith, PA
• Jamie Soper, AU.D.
• Angela M Sorg, APNP

• General Practice Dentistry in Prairie Du Sac, WI
• Providers in Prairie Du Sac, 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 Jul 13, 2010; 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.