Sleep Well Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

1352G Issued in WI

Legal business name

SLEEP WELL DENTAL, LLC

Practice address

207 S. University Avenue
Beaver Dam, WI 53916-2450

Phone

(920) 887-8079

Fax

(920) 887-1203

NPI assigned

Sep 2, 2011

Organization subpart

Yes

Parent organization

SLEEP WELL DENTAL, LLCAs reported in NPPES

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

Authorized official

Name

John Nicholas Stellpflug, DDSNPI 1699801688

Title

Owner/Dentist

Phone

(920) 887-8079

Specialties & licenses 1

Addresses

Part of

Sleep Well Dental LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Nicholas Stellpflug, D.D.S.

  • Dentist
  • Beaver Dam, WI
  • NPI 1699801688
  NPD (past) Authorized official

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1841571973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 675",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162450",
            "telephone_number": "920-887-8079",
            "fax_number": "920-887-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S. UNIVERSITY AVENUE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162450",
            "telephone_number": "920-887-8079",
            "fax_number": "920-887-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP WELL DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLEEP WELL DENTAL, LLC",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "STELLPFLUG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "920-887-8079",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "1352G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.