Stephen Ross Prieve, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6001081 Issued in WI

Practice address

220 Keenan Court
Suite #100
Verona, WI 53593

Phone

(608) 960-8414

NPI assigned

Mar 11, 2018

Last updated

Oct 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blue Skies Pediatric Dentistry

  • Dental Clinic/Center
  • Verona, WI
  • NPI 1154045953
  NPD Authorized official
• The Fun Kids Dentist, S.C.

  • Dentist
  • Brookfield, WI
  • NPI 1568522720
  NPD (past)
• Eastern Iowa Periodontics, PC

  • Periodontics
  • Coralville, IA
  • NPI 1083947667
  NPD (past)
• Iowa Pediatric Dental Center

  • Pediatric Dentistry
  • Coralville, IA
  • NPI 1639595952
  NPD (past)

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1811490337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16655 W BLUEMOUND RD STE 380",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055939",
            "telephone_number": "262-786-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KEENAN COURT",
            "address_2": "SUITE #100",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "53593",
            "telephone_number": "608-960-8414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16655 W Bluemound Rd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055939",
            "country_code": "US",
            "telephone_number": "262-786-1270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIEVE",
        "first_name": "STEPHEN",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-11",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "DDS-09728",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16474",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6001081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Polzin, CCC-SLP
• Aubreonna Poole
• Emily Portillo, SLP
• Brittany Rose Post
• Amanda R Preimesberger, MD
• Amanda Purcilly, PT, DPT
• Elizabeth Purpero
• Heidi Pyfferoen, DPT
• Teagan Pyszka, DDS
• Quirt Family Dentistry, S.C. (West End Dental Care)

• Pediatric Dentistry in Verona, WI
• Providers in Verona, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; 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.