Madisen Jo Swift-Bereded, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001232-15 Issued in WI

Practice address

238 Front St
Cashton, WI 54619-2002

Phone

(608) 654-5100

NPI assigned

Jun 30, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Scenic Bluffs Health Center, Inc

  dba Scenic Bluffs Community Health Centers

  • Dental Clinic/Center
  • Cashton, WI
  • NPI 1124270178
  NPD (past)

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1831876713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 FRONT ST",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546192002",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 FRONT ST",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546192002",
            "telephone_number": "608-654-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 7th St S",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015202",
            "country_code": "US",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIFT-BEREDED",
        "first_name": "MADISEN",
        "middle_name": "JO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001232-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim S. Schrandt, RN
• Eleanor Shaffar
• Tricia Ann Streeck
• Heather Suby, RDH
• James R Sueppel, DDS
• Martin Tettey, DMD
• Michael Roger Vandezande, RPH
• Phuoc Thanh Vuong, DMD, MS
• Vickie Lynn Waskowiak, RDH
• Aaron Youn, DDS

• General Practice Dentistry in Cashton, WI
• Providers in Cashton, 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 Sep 13, 2024; 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.