Eric J Stull, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6528 Issued in WI

Practice address

444 Main St
#301
La Crosse, WI 54601-4099

Phone

(608) 782-4751

NPI assigned

Jun 9, 2010

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: Yes
• Power mobility devices: No
• Hospice: Yes

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1336469683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MAIN ST",
            "address_2": "#301",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014099",
            "telephone_number": "608-782-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MAIN ST",
            "address_2": "#301",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014099",
            "telephone_number": "608-782-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Strong, NP
• Amanda L Strosahl, MD
• Trisha Stroyny, PHARMD
• Joyce Strub, MT
• Bonita E Stubbendick, LPC
• Robert J Stupi, AA
• John Christos Styliaras, MD
• Yutao Su, MD
• Sandra Milena Suarez Hoyos, M.D.
• Sarah Ann Suarez, PA-C

• Dentist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.