Krehl William Stegelmeier, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8989 Issued in CO

Practice address

288 W Pabor Ave
Fruita, CO 81521-2153

Phone

(970) 858-8484

Fax

(970) 858-6436

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

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.

• Fruita Canyon Dental

  • Dentist
  • Fruita, CO
  • NPI 1972954949
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1447355490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 W PABOR AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212153",
            "telephone_number": "970-858-8484",
            "fax_number": "970-858-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 W PABOR AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212153",
            "telephone_number": "970-858-8484",
            "fax_number": "970-858-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGELMEIER",
        "first_name": "KREHL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33173842",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley B Silver, LPC
• Cristi Silver
• Elizabeth Louise Smith, APN
• David Joseph Snover, PA-C, ATC
• Jerry John Speight, D.C.
• Jessica A Stone, PH.D.
• Kimberly Ann Tabor
• Christopher Eugene Taggart, MD
• Telehelp With Charlotte
• Larry D Tice, MD

• General Practice Dentistry in Fruita, CO
• Providers in Fruita, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.