John W. Stilp, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5002121-015 Issued in WI

Practice address

3000 Westhill Dr Ste 301
Wausau, WI 54401-3795

Phone

(715) 845-4511

Fax

(715) 845-1898

NPI assigned

Jul 19, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720008402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR STE 301",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795",
            "telephone_number": "715-845-4511",
            "fax_number": "715-845-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR STE 301",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795",
            "telephone_number": "715-845-4511",
            "fax_number": "715-845-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILP",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5002121-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Renee Stevenson, MA, LPC-T
• Lindsay Stevenson, MD
• Dawn M. Steves, MA, CCC-SLP
• Stewart Avenue Optical, Inc.
• Stewart Optical LLC
• Stephen B Stine, MD
• Rachel Mary Grace Stiver, LPN
• Daniel T. Stoehr, O.D.
• Sue Ann Stoltz, RDH
• Andrew Joseph Stoltze, M.D., J.D.

• Oral and Maxillofacial Surgery (Dentist) in Wausau, WI
• Providers in Wausau, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.