Individual provider Active NPI

David J. Stecker, D.D.S.

  • General Practice Dentistry
  • Beaver Dam, WI
National Provider Identifier
1306892500
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3480 Issued in WI
Practice address
302 N Spring St
Beaver Dam, WI 53916-2044
Phone
(920) 887-8421
Fax
(920) 887-8431
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3480 WI Primary

Addresses

Primary practice location

302 N Spring St
Beaver Dam, WI 53916-2044

Mailing address

302 N Spring St
P.O. Box 436
Beaver Dam, WI 53916-2044
Phone (920) 887-8421

Other identifiers 1

IdentifierTypeStateIssuer
33477900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516000035 WI Order and Referring Only - General PracticePractitioner - General Practice 7911296926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3480WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Dam Dental LLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306892500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N SPRING ST",
            "address_2": "P.O. BOX 436",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162044",
            "telephone_number": "920-887-8421",
            "fax_number": "920-887-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N SPRING ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162044",
            "telephone_number": "920-887-8421",
            "fax_number": "920-887-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKER",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33477900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

Verify at the official NPI Registry.