West Prairie Dental LLC
NPI 1124900907ActiveOrganization· Dentist, General Practice· Sun Prairie, WI
Dentist, General Practice in Sun Prairie, Wisconsin, registered in NPPES in July 2025. The authorized official on file is Kelsey Laufenberg, Office Manager. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1124900907 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2025 |
| Last updated in NPPES | Aug 28, 2025 |
| Certified by provider | Aug 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Oral Surgery - Dentist (WI) |
|---|
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