NPIMap

Organization Active NPI

LBJS SC

  • Dental Clinic/Center
  • Muskego, WI
National Provider Identifier
1821864273
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LBJS SC
Practice address
S75 W17289 Janesville Rd
Muskego, WI 53150
Phone
(414) 285-5328
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Dr. Jennifer Sinnen, DDSNPI 1144631698
Title
Dentist
Phone
(262) 412-3743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

S75 W17289 Janesville Rd
Muskego, WI 53150

Mailing address

5821 Woodland Hills Dr
Mt Pleasant, WI 53406-6302

Other names 1

  • Smile Pediatric Dentistry of Muskego Doing business as

National Provider Directory

National Provider Directory

Locations

S75W17289 Janesville Rd
Muskego, WI 53150
Phone (414) 285-5328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1821864273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 WOODLAND HILLS DR",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534066302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S75 W17289 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "53150",
            "telephone_number": "414-285-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBJS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "SINNEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "262-412-3743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Pediatric Dentistry of Muskego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskego, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.