Dr. Dan Stevens Family Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

1001098-15 Issued in WI

Legal business name

DR. DAN STEVENS FAMILY DENTISTRY, LLC

Practice address

105 Bridge St
Mayville, WI 53050-1635

Phone

(920) 387-2640

NPI assigned

Jun 8, 2016

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Stevens, DDSNPI 1871980573

Title

Owner, Dentist

Phone

(920) 387-2640

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Stevens, D.D.S.

  • General Practice Dentistry
  • Mayville, WI
  • NPI 1871980573
  NPD Authorized official
• Mark Christian Brieman, D.D.S.

  • General Practice Dentistry
  • Mayville, WI
  • NPI 1225153513
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1780033860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRIDGE ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501635",
            "telephone_number": "920-387-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRIDGE ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501635",
            "telephone_number": "920-387-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAN STEVENS FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "920-387-2640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001098-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consultants Laboratory of Wisconsin, LLC
• Crossroads Care Center of Mayville, LLC (Avina of Mayville)
• Crossroads Care Center of Mayville, LLC (Avina Living of Mayville)
• Ellen Anne Demeyer, OTR
• Lynne Ann Dittman
• Extendicare Health Facilities, Inc. (Mayville Health & Rehabilitation Center)
• Bridgette Francis
• Kaitlyn Francour, OTR/L
• Daniel Frenette
• Sarah Mary Frings-Netys, DC

• Dentist in Mayville, WI
• Providers in Mayville, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.