GREAT DAY DENTAL OF EAST MADISON
NPI 1992217053
Clinic/Center - Dental in Madison, WI

Active since October 30, 2017
2010 EASTWOOD DR STE 206, MADISON, WI 53704(608) 241-1579(608) 241-2061 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2023, Oct 30, 2017 (2 updates tracked since 2017).

About Great Day Dental Of East Madison NPPES

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

GREAT DAY DENTAL OF EAST MADISON (NPI 1992217053) is a healthcare organization registered as a dental in Madison, Wisconsin and active in the NPI registry since October 2017. The organization lists Jessica Kiecker, Owner, as its authorized official.

NPPES Registry Identity

NPI1992217053
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGREAT DAY DENTAL LLC
Location Address2010 EASTWOOD DR STE 206Madison, WI 53704-5387
Mailing Address1532 W Broadway Ste 101Monona, WI 53713-1827 · (608) 221-3326 · Fax (608) 221-9726
Fax(608) 241-2061
Organization SubpartYes
Authorized OfficialJessica KieckerOwner · (608) 241-1579
Enumeration DateOctober 30, 2017
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1992217053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in WI · 6337✔ Licensed in WI · 50015111
2010 EASTWOOD DR STE 206, Madison, WI 53704

Other Names 2

Doing Business AsGreat Day Dental Of East Madison
Doing Business AsGreat Day Dental Monona

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Day Dental Of East Madison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20231220001003DME · Oral Surgery - DentistDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 Great Day Dental LLC's NPI number?

The NPI number for Great Day Dental LLC is 1992217053. It was assigned to this organization in the NPPES registry on October 30, 2017. The provider is doing business as Great Day Dental Of East Madison and Great Day Dental Monona.

Where is Great Day Dental LLC located?

Great Day Dental LLC is located at 2010 Eastwood Dr Ste 206, Madison, WI 53704. The listed phone number is (608) 241-1579.

What is Great Day Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Great Day Dental LLC enrolled in Medicare?

Yes. Great Day Dental LLC is registered in the Medicare PECOS enrollment system.

When is Great Day Dental LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Wisconsin, Oral Surgery - Dentist) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Great Day Dental LLC accept?

Health plans from Dean Health Plan and Quartz list Great Day Dental LLC 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 Great Day Dental LLC was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.