Active NPI
John W. Stilp, DDS, SC
- Oral and Maxillofacial Surgery (Dentist)
- Wausau, WI
National Provider Identifier
1063739589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 500212
- Legal business name
- JOHN W. STILP, DDS, SC
- Practice address
- 3000 Westhill Drive
Suite 301
Wausau, WI 54401 - Phone
- (715) 845-4511
- Fax
- (715) 845-1898
- NPI assigned
- Apr 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John William Stilp, DDS
- Title
- President
- Phone
- (715) 845-4511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 500212 | WI | Primary |
Addresses
Primary practice location
3000 Westhill Drive
Suite 301
Wausau, WI 54401
Mailing address
3000 Westhill Drive
Suite 301
Wausau, WI 54401
Phone (715) 845-4511
National Provider Directory
National Provider DirectoryLocations
438 Edison St
Antigo, WI 54409
Phone (715) 432-4565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271980800000",
"number": "1063739589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 WESTHILL DRIVE",
"address_2": "SUITE 301",
"city": "WAUSAU",
"state": "WI",
"postal_code": "54401",
"telephone_number": "715-845-4511",
"fax_number": "715-845-1898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 WESTHILL DRIVE",
"address_2": "SUITE 301",
"city": "WAUSAU",
"state": "WI",
"postal_code": "54401",
"telephone_number": "715-845-4511",
"fax_number": "715-845-1898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN W. STILP, DDS, SC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A",
"authorized_official_last_name": "STILP",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-845-4511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WI",
"license": "500212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.