Kris A. Stegmann, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901016037 Issued in MI

Practice address

431 Munson Ave
Traverse City, MI 49686-3060

Phone

(231) 947-4141

Fax

(231) 947-4528

NPI assigned

May 27, 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

Other identifiers 2

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821045832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 RIDGE TRAIL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847579",
            "telephone_number": "231-941-1103",
            "fax_number": "231-947-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MUNSON AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863060",
            "telephone_number": "231-947-4141",
            "fax_number": "231-947-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGMANN",
        "first_name": "KRIS",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901016037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4249584",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4249593",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher James Steele, MD
• Wayne Kenneth Stefanciw, M.D.
• Corbin John Stefanski, DPT
• David John Steffey, MD
• Madison B Steggles
• Elizabeth Stelzer
• Holly Lynn Stenberg, LLMSW
• Lori Anne Stendel, LBSW
• Mackenzie L Stepanian
• Stephanie Wendland LPC PLLC

• Oral and Maxillofacial Surgery (Dentist) in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• 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.