Active NPI
Skylar Mae Stelter
- Dentist
- Oak Creek, WI
National Provider Identifier
1245025527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001788-15
- Practice address
- 280 E Centennial Dr
Oak Creek, WI 53154-8618 - Phone
- (414) 483-1820
- NPI assigned
- Apr 9, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WI | ||
| Dentist | 122300000X | 6001788-15 | WI | Primary |
Addresses
Primary practice location
280 E Centennial Dr
Oak Creek, WI 53154-8618
Mailing address
1025 E Stonegate Dr
Oak Creek, WI 53154-3924
Phone (414) 736-0622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001788-15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1245025527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 E STONEGATE DR",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531543924",
"telephone_number": "414-736-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 E CENTENNIAL DR",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531548618",
"telephone_number": "414-483-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELTER",
"first_name": "SKYLAR",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-04-09",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001788-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.