NPIMap

Organization Active NPI

Dennis R Sherraden, DDS, LLC

  • Dental Clinic/Center
  • Monona, WI
National Provider Identifier
1861659963
Registry record updated May 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
WI 3555 Issued in WI
Legal business name
DENNIS R SHERRADEN, DDS, LLC
Practice address
100 River PL
Suite 189
Monona, WI 53716-4041
Phone
(608) 221-8787
Fax
(608) 441-9157
NPI assigned
May 18, 2008
Last updated
May 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2008

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

Authorized official

Name
Dr. Dennis Robert Sherraden, D.D.S.
Title
Owner
Phone
(608) 221-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X WI 3555 WI Primary

Addresses

Primary practice location

100 River PL
Suite 189
Monona, WI 53716-4041

Mailing address

100 River PL
Suite 180
Monona, WI 53716-4041
Phone (608) 221-8787

Other identifiers 1

IdentifierTypeStateIssuer
33482200MedicaidWI

National Provider Directory

National Provider Directory

Locations

100 River Pl
Ste 180
Monona, WI 53716
Phone (608) 221-8787

100 River Pl
Ste 189
Monona, WI 53716
Phone (608) 221-8787

NPI Registry JSON

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1861659963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER PL",
            "address_2": "SUITE 180",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164041",
            "telephone_number": "608-221-8787",
            "fax_number": "608-441-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER PL",
            "address_2": "SUITE 189",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164041",
            "telephone_number": "608-221-8787",
            "fax_number": "608-441-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS R SHERRADEN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "SHERRADEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-221-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "WI 3555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33482200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; 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.