Stephen R. Van Ess, D.D.S., S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

02775 Issued in WI

Legal business name

STEPHEN R. VAN ESS, D.D.S., S.C.

Practice address

1053 Fond Du Lac Ave
Kewaskum, WI 53040-9495

Phone

(262) 626-8444

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Reynolds Van Ess, DDSNPI 1740284306

Title

President

Phone

(262) 626-8444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Reynolds Van Ess, D.D.S.

  • General Practice Dentistry
  • Kewaskum, WI
  • NPI 1740284306
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083746242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 FOND DU LAC AVE",
            "address_2": "P.O. BOX 559",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530409495",
            "telephone_number": "262-626-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 FOND DU LAC AVE",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530409495",
            "telephone_number": "262-626-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. VAN ESS, D.D.S., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN ESS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-626-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "02775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Alex Rutkowski, MD
• Charlotte Rebecca Rutkowski, MD
• Samuel Schultz
• Nerissa Seabrook, CCC-SLP
• Christina Smith, NP-C
• The Careing Hand LLC
• Nicole Shannon Thull, SAC-IT
• Chantelle M Toth, SLP
• Stephen Reynolds Van Ess, D.D.S.
• Village of Kewaskum

• General Practice Dentistry in Kewaskum, WI
• Providers in Kewaskum, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.