Wyn Steckbauer, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

5396 Issued in WI

Practice address

1720 Congress Ave
Oshkosh, WI 54901-7701

Phone

(920) 235-3251

Fax

(920) 235-3567

NPI assigned

Sep 26, 2006

Last updated

Oct 18, 2023By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 14, 2012 through Sep 14, 2026

Medicare enrollment (NPD)

Not enrolled

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.

• Bull Falls Dental, LLC

  • Dental Clinic/Center
  • Wausau, WI
  • NPI 1487314407
  NPD Authorized official
• Fox Run Dental, LLC

  • Dental Clinic/Center
  • Appleton, WI
  • NPI 1124540315
  NPD Authorized official
• Willow Cove Dental, LLC

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1801305271
  NPD Authorized official
• Glacier Dental

  • General Practice Dentistry
  • Oshkosh, WI
  • NPI 1649498528
  Authorized official Same address or phone
• Great Blue Dental, LLC

  • Dental Clinic/Center
  • Marinette, WI
  • NPI 1720534159
  Authorized official Same address or phone

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1841391109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WITZEL AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549041700",
            "telephone_number": "920-235-3251",
            "fax_number": "920-235-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CONGRESS AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549017701",
            "telephone_number": "920-235-3251",
            "fax_number": "920-235-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKBAUER",
        "first_name": "WYN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zechariah David Spychalla, MD
• Jennifer L Srnka, LCSW
• Karolina Stack, M.D.
• Ruth Staszak, APNP
• Pang Dlib Steckbauer, PMHNP-BC
• Mary Gwen Steffen, A.P.N.P.
• Katie Stegeman
• Tammy Steier, LCSW
• John D Steiner, MD
• Stellar Vision Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.