Individual provider Active NPI

Joseph R Stiglitz, DDS

  • General Practice Dentistry
  • St Francis, WI
National Provider Identifier
1588649339
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001804-015 Issued in WI
Practice address
3555 S Kinnickinnic Ave
St Francis, WI 53235-3739
Phone
(414) 744-0634
Fax
(414) 744-6031
NPI assigned
Dec 14, 2005
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5001804-015 WI Primary

Addresses

Primary practice location

3555 S Kinnickinnic Ave
St Francis, WI 53235-3739

Mailing address

3555 S Kinnickinnic Ave
St Francis, WI 53235-3739
Phone (414) 744-0634

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150414002359 WI Order and Referring Only - DentistPractitioner - Dentist 7214255660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001804-015WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Hall DDS CurrentSince Jul 23, 2023 Accepting new patients

Locations

3555 S Kinnickinnic Ave
St Francis, WI 53235
Phone (414) 744-0634

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1588649339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 S KINNICKINNIC AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532353739",
            "telephone_number": "414-744-0634",
            "fax_number": "414-744-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 S KINNICKINNIC AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532353739",
            "telephone_number": "414-744-0634",
            "fax_number": "414-744-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIGLITZ",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001804-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Francis, WI

Sources for this page

Verify at the official NPI Registry.