Active NPI
Wilson Stemm, D.M.D.
- Dentist
- New Albany, IN
National Provider Identifier
1366778680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12011373A
- Practice address
- 1109 E Spring St
New Albany, IN 47150-2853 - Phone
- (812) 944-6021
- NPI assigned
- Oct 21, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12011373A | IN | Primary |
| Dentist | 122300000X | 8824 | KY |
Addresses
Primary practice location
1109 E Spring St
New Albany, IN 47150-2853
Mailing address
1109 E Spring St
New Albany, IN 47150-2853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011373A | IN | MD | Dentist |
| 8824 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1366778680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 E SPRING ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 E SPRING ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502853",
"telephone_number": "812-944-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEMM",
"first_name": "WILSON",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011373A",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8824",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.