John Shea D.D.S. LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JOHN SHEA D.D.S. LLC

Practice address

615 10TH St S
La Crosse, WI 54601-4768

Phone

(608) 782-4054

Fax

(608) 782-2198

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

John V.E. Shea, D.D.S.

Title

Owner

Phone

(608) 782-4054

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1942470331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 10TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014768",
            "telephone_number": "608-782-4054",
            "fax_number": "608-782-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 10TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014768",
            "telephone_number": "608-782-4054",
            "fax_number": "608-782-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SHEA D.D.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V.E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-782-4054",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33463300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Jochimsen, LPC
• Barbara J Jochman, CRNA
• Joel Hollow, Rd LD
• Gopi Kiran Johanningmeier, C-AA
• John H Betz DDS SC
• John W. Moore DDS, SC
• Johnson Chiropractic, Inc
• Johnson Counseling and Consulting
• Barbara Jean Johnson-Hamamoto, RN
• Leanne J Johnson-Meeter, PA

• Pediatric Dentistry in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.