Jon Daniel Stineman, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6026 Issued in NE

Practice address

2304 Taylor Ave
Norfolk, NE 68701-4537

Phone

(402) 644-4452

Fax

(402) 644-4454

NPI assigned

May 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Oral Surgery Center, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, NE
  • NPI 1598041352
  NPD (past) Authorized official
• Columbus Community Hospital Inc

  • Dermatology Physician
  • Columbus, NE
  • NPI 1881370476
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1316904451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 TAYLOR AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014537",
            "telephone_number": "402-644-4452",
            "fax_number": "402-644-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 TAYLOR AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014537",
            "telephone_number": "402-644-4452",
            "fax_number": "402-644-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINEMAN",
        "first_name": "JON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8350",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": "6026",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "778",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OK",
            "license": "24020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Sue Steskal
• Nichole Steskal
• Heidi Stevens
• Candace Marie Stickman
• Lydia Stigsell, DDS
• Debra Stockman, PTA
• Alice Marie Stodola
• Amanda Stolley
• Laura L Stoltz, LMHP, LPC
• Tia Rachelle Stone

• Oral and Maxillofacial Surgery (Dentist) in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.