Daniel Stevens, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1000198-15 Issued in WI

Practice address

105 Bridge St
Mayville, WI 53050-1635

Phone

(920) 387-2640

NPI assigned

Apr 20, 2015

Last updated

Jun 9, 2021By 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

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.

• Campbellsport Family Dentistry, LLC

  dba Campbellsport Family Dentistry

  • 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

  dba No Fear Dentistry

  • Dentist
  • Sun Prairie, WI
  • NPI 1063283265
  NPD (past)

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

{
    "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": []
}

• School District of Mayville
• Colleen Lynn Schultz, OTR
• Darla Lynne Schultz, PTA
• Alexander Seefeld, DPT
• Shopko Stores Operating Co LLC (Shopko Pharmacy 793)
• Aidan Stumpf, CCC-SLP
• Elizabeth Jean Thrams, COTA
• Lisa Traughber, PT
• Sara Wagner, PTA
• Robin Marie Wankowski, PTA

• General Practice Dentistry in Mayville, WI
• Providers in Mayville, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.