Ryan Michael Stukenberg, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002122-15 Issued in WI

Practice address

1125 Stephenson LN
Waunakee, WI 53597-2516

Phone

(608) 849-4424

NPI assigned

Jun 18, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Applewhite Dental Wisconsin, P.C.

  dba JoAnn Martens, DDS

  • General Practice Dentistry
  • Waunakee, WI
  • NPI 1285288464
  NPD

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1295395507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 NORWICH ST",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115448",
            "telephone_number": "815-291-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 STEPHENSON LN",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972516",
            "telephone_number": "608-849-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKENBERG",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002122-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Stolen, RN
• Stonetree Therapy LLC
• Amanda Lynn Streiff
• Tara Streit, PA-C
• Lynette Endres Stremer, LPN
• Monica Jean Sutton, LCSW
• Melissa Swanson, APNP
• Kathryn A Swenson, NP
• Jennifer Sydow, RN
• Thiry Family Chiropractic SC

• General Practice Dentistry in Waunakee, WI
• Providers in Waunakee, 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 Mar 27, 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.