Daniel Stevens, D.D.S.

Key facts

NPI

1871980573

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

1000198-15 (WI)

Practice address

105 Bridge St
Mayville, WI 53050-1635

Phone

(920) 387-2640

NPI assigned

Apr 20, 2015

Sex

Male

Sole proprietor

No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Campbellsport Family Dentistry, LLC Dental Clinic/Center · Campbellsport, WI · NPI 1073368254
  NPD Authorized official
• Dr. Dan Stevens Family Dentistry, LLC Dentist · Mayville, WI · NPI 1780033860
  NPD Authorized official
• Fond Du Lac Family Dentistry, LLC Dental Clinic/Center · Fond Du Lac, WI · NPI 1982271763
  NPD Authorized official
• No Fear Dentistry Sun Prairie LLC Dentist · Sun Prairie, WI · NPI 1063283265
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 9, 2021.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1871980573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRIDGE ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501635",
            "telephone_number": "920-387-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRIDGE ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501635",
            "telephone_number": "920-387-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 S Marr St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549354419",
            "country_code": "US",
            "telephone_number": "920-922-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1000198-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayville, WI

• School District of Mayville
• Colleen Lynn Schultz, OTR
• Darla Lynne Schultz, PTA
• Alexander Seefeld, DPT
• Shopko Stores Operating Co LLC
• Aidan Stumpf, CCC-SLP
• Elizabeth Jean Thrams, COTA
• Lisa Traughber, PT
• Sara Wagner, PTA
• Robin Marie Wankowski, PTA

All providers in Mayville, WI · General Practice Dentistry in Wisconsin