Active NPI
Stephen A Waite, DDS
- Dentist
- North Prairie, WI
National Provider Identifier
1548351752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2325
- Practice address
- 205 West Sadd Street
North Prairie, WI 53153-0404 - Phone
- (262) 392-2244
- Fax
- (262) 549-3412
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2325 | WI | Primary |
Addresses
Primary practice location
205 West Sadd Street
North Prairie, WI 53153-0404
Mailing address
PO Box 404
205 West Sadd Street
North Prairie, WI 53153-0404
Phone (262) 392-2244
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 |
|---|---|---|---|
| 2325 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548351752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404",
"address_2": "205 WEST SADD STREET",
"city": "NORTH PRAIRIE",
"state": "WI",
"postal_code": "531530404",
"telephone_number": "262-392-2244",
"fax_number": "262-549-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WEST SADD STREET",
"city": "NORTH PRAIRIE",
"state": "WI",
"postal_code": "531530404",
"telephone_number": "262-392-2244",
"fax_number": "262-549-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITE",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "2325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.