Steven B Demille, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5377 Issued in WI

Practice address

2620 Stewart Ave
Suite 214
Wausau, WI 54401-4170

Phone

(715) 845-3171

Fax

(715) 843-7088

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275601940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE",
            "address_2": "SUITE 214",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014170",
            "telephone_number": "715-845-3171",
            "fax_number": "715-843-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE",
            "address_2": "SUITE 214",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014170",
            "telephone_number": "715-845-3171",
            "fax_number": "715-843-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMILLE",
        "first_name": "STEVEN",
        "middle_name": "B",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylee Dehnel, DDS
• Joel R Dekoning, MD
• Alesha Marie Delano
• Craig L Delisle, RN
• Hannah Deloye, RN, BSN
• Julie M Denardis, PHARM. D
• Dustin James Dengel, DDS
• Joshua Christopher Denk, MD
• Stina M Denk, LPN
• Dental Options, LLC

• General Practice Dentistry in Wausau, WI
• Providers in Wausau, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.