John Nicholas Stellpflug, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

1325G Issued in WI

Practice address

207 S University Ave
Beaver Dam, WI 53916-2450

Phone

(920) 887-8079

Fax

(920) 887-1203

NPI assigned

Feb 26, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 20, 2015 through Oct 20, 2027

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.

• Sleep Well Dental, LLC

  • Dentist
  • Beaver Dam, WI
  • NPI 1841571973
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699801688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539160675",
            "telephone_number": "920-887-8079",
            "fax_number": "920-887-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S UNIVERSITY AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162450",
            "telephone_number": "920-887-8079",
            "fax_number": "920-887-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLPFLUG",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1325G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Smithback
• David Hugh Sommer, D.D.S.
• Cory A Springstroh, OD
• St. Marys Dean Ventures Inc. (Ayaz M Samadani MD)
• David J. Stecker, D.D.S.
• Jason Steward
• Cindy A Stippich, CNM
• Randall M. Stone, NP
• Doubara Stucki
• Surgical Specialists of Dodge Co

• Dentist in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Dentist in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.