DR. KASHEENA S HOLLIS DMD
NPI 1417260712
Dentist - General Practice in Sun Prairie, WI

Active since July 15, 2010PECOS Enrolled
1270 W MAIN ST, SUN PRAIRIE, WI 53590(608) 443-5482(608) 837-9134 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kasheena S Hollis Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KASHEENA S HOLLIS DMD (NPI 1417260712) is an individual general practice provider in Sun Prairie, Wisconsin, licensed in Wisconsin (7188-15) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417260712
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KASHEENA S HOLLISCredential: DMD
Location Address1270 W MAIN STSun Prairie, WI 53590-1930
Mailing Address2901 W Beltline Hwy, Suite 120Madison, WI 53713-4226 · (608) 443-5500 · Fax (608) 441-2385
Fax(608) 837-9134
Sole ProprietorNo
Enumeration DateJuly 15, 2010
Last NPPES UpdateJanuary 10, 2014
NPI 1417260712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in WI · 7188-15 Licensed in OH · 30-023210
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1270 W MAIN ST, Sun Prairie, WI 53590

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kasheena S Hollis Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53590 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist (General Practice)
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist (Dental Public Health)
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dental Hygienist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dental Hygienist
1270 W MAIN ST
SUN PRAIRIE, WI 53590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kasheena Hollis's NPI number?

The NPI number for Kasheena Hollis is 1417260712. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Where is Kasheena Hollis located?

Kasheena Hollis practices at 1270 W Main St, Sun Prairie, WI 53590. The listed phone number is (608) 443-5482.

What is Kasheena Hollis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kasheena Hollis enrolled in Medicare?

Yes. Kasheena Hollis is registered in the Medicare PECOS enrollment system.

What insurance does Kasheena Hollis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 13 other insurers list Kasheena Hollis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kasheena Hollis was last updated on January 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.