Individual provider Active NPI

Rebecca A Stohler, DDS, MS

  • Endodontics
  • Glendale, WI
National Provider Identifier
1689663213
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7168-15 Issued in WI
Practice address
350 W Green Tree Rd
Glendale, WI 53217-3815
Phone
(414) 797-0494
NPI assigned
Oct 17, 2005
Last updated
Jun 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 6447 AZ
Endodontics 1223E0200X 50102 CA
Endodontics 1223E0200X 7168-15 WI Primary

Addresses

Primary practice location

350 W Green Tree Rd
Glendale, WI 53217-3815

Mailing address

350 W Green Tree Rd
Glendale, WI 53217-3815
Phone (414) 797-0494

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
I20150310001518 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850617812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402790400000",
    "number": "1689663213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W GREEN TREE RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173815",
            "telephone_number": "414-797-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W GREEN TREE RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173815",
            "telephone_number": "414-797-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOHLER",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "6447",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "50102",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "7168-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.