Elizabeth Diana Scheinthal, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6001164-15 Issued in WI

Practice address

10618 N Port Washington Rd
Mequon, WI 53092-5013

Phone

(262) 241-0400

Fax

(262) 643-4272

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

Yes

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.

• The Kids Dentist LLC

  • Pediatric Dentistry
  • Mequon, WI
  • NPI 1407257108
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1871166637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N VAN BUREN ST APT 1613",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023861",
            "telephone_number": "512-673-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10618 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925013",
            "telephone_number": "262-241-0400",
            "fax_number": "262-643-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEINTHAL",
        "first_name": "ELIZABETH",
        "middle_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6001164-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Tate Sawyer, LCSW
• Mary Beth Scalise, PT
• Madelyn Schaid
• Lauretta Lyon Schears, O.T.R.
• Savannah Schecher, LPC
• Kelsey Scheller, OTR/L
• Jeffrey W Schenck, M.D.
• Katharine W. Schenck, PA-C
• Nanci E Schiman, MSW, LCSW
• Jacob A Schlindwein, D.D.S.

• Pediatric Dentistry in Mequon, WI
• Providers in Mequon, WI by specialty
• Pediatric Dentistry in Wisconsin

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