Active NPI
Dax Demaree, D.O.
- Surgery Physician
- Altoona, WI
National Provider Identifier
1245695808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 73809-21
- Practice address
- 1451 Bluestem Blvd, Ste F
Altoona, WI 54720-7172 - Phone
- (715) 575-5800
- NPI assigned
- Dec 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 73809-21 | WI | Primary |
| Surgery Physician | 208600000X | 71091 | MN |
Addresses
Primary practice location
1451 Bluestem Blvd, Ste F
Altoona, WI 54720-7172
Mailing address
1451 Bluestem Blvd, Ste F
Altoona, WI 54720
Phone (715) 575-5800
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71091 | MN | MD | Surgery Physician |
| 73809-21 | WI | MD | Surgery Physician |
Interoperability endpoints
- dax.demaree@avera.sdhealthlink.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1245695808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 BLUESTEM BLVD, STE F",
"city": "ALTOONA",
"state": "WI",
"postal_code": "54720",
"telephone_number": "715-575-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 BLUESTEM BLVD, STE F",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547207172",
"telephone_number": "715-575-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMAREE",
"first_name": "DAX",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-28",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "73809-21",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "71091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.