Kris a. Stegmann, D.D.S., P.L.L.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901016037 Issued in MI

Legal business name

KRIS A. STEGMANN, D.D.S., P.L.L.C.

Practice address

540 S. Garfield Ave
Traverse City, MI 49686

Phone

(231) 947-4141

Fax

(231) 947-4528

NPI assigned

Mar 15, 2011

Last updated

Nov 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kris A. Stegmann, D.D.S.NPI 1821045832

Title

Owner

Phone

(231) 947-4141

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kris A. Stegmann, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Traverse City, MI
  • NPI 1821045832
  Authorized official Same address or phone

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1366741498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S. GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-947-4141",
            "fax_number": "231-947-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S. GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-947-4141",
            "fax_number": "231-947-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS A. STEGMANN, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "STEGMANN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-947-4141",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901016037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4249584",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4249593",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Paul Krcmarik, M.D.
• Rochelle Kreft, LPC
• Michele Rose Kreple, COTA
• Sallie Mae Krepps, CAC1
• Joanne Kressley
• Kristin Sulecki, LMSW, LLC
• Emily Krogel
• John Paul Kroger
• David Donald Krohn, M.D.
• Hannah Krohn

• Oral and Maxillofacial Surgery (Dentist) in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.