Individual provider Active NPI

Stephen D Dennis, D.O.

  • Emergency Medicine Physician
  • Saint Croix Falls, WI
National Provider Identifier
1184650319
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
44228 Issued in CO
Practice address
207 S Adams St
Saint Croix Falls, WI 54024-9450
Phone
(417) 669-7535
NPI assigned
Jun 22, 2006
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D024957 OR
Emergency Medicine Physician 207P00000X 2006016940 MO
Emergency Medicine Physician 207P00000X 44228 CO Primary

Addresses

Primary practice location

207 S Adams St
Saint Croix Falls, WI 54024-9450

Mailing address

207 S Adams St
Saint Croix Falls, WI 54024-9450
Phone (417) 669-7535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44228COMDEmergency Medicine Physician
D024957ORMDEmergency Medicine Physician
3242OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wapello Emergency Group PC Emergency Medicine Past Accepting new patients
Sjmgroup Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients
NW Wisconsin Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1184650319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S ADAMS ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249450",
            "telephone_number": "417-669-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S ADAMS ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249450",
            "telephone_number": "417-669-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "D024957",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2006016940",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "44228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Croix Falls, WI

Sources for this page

Verify at the official NPI Registry.