Tristan Rostagno, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6001499-15 Issued in WI

Practice address

920 Indian Spring Dr
Delafield, WI 53018-2242

Phone

(262) 239-7358

NPI assigned

Apr 3, 2024

Last updated

May 25, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1821840604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W313N4972 CHAPEL RIDGE RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 INDIAN SPRING DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182242",
            "telephone_number": "262-239-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTAGNO",
        "first_name": "TRISTAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001499-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remedynow
• Richard J. Pollack, D.O., S.C.
• Richard Yanchar, PH.D., S.C.
• Michelle Adele Riegleman, D.C.
• Jennifer Rogers, PHD
• Susan J Rubenzer
• Kathryne Elizabeth Ruffalo, DC
• Susan Kathleen Russler, M.D.
• Ariel Salazar
• Salus Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.