Steven Lee Rauwerdink, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3700-015 Issued in WI

Practice address

1142 E Paradise Dr
West Bend, WI 53095-5444

Phone

(262) 334-7401

Fax

(262) 334-0158

NPI assigned

Jun 14, 2007

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972707701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 E PARADISE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530955444",
            "telephone_number": "262-334-7401",
            "fax_number": "262-334-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 E PARADISE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530955444",
            "telephone_number": "262-334-7401",
            "fax_number": "262-334-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUWERDINK",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3700-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neishka Marie Ramirez Corchado, PHARMD
• Tenisha Z Ranson
• Janice Rasmussen, OT
• Kathryn A Rasmussen, CNM
• Chloe E Rautmann, SAC-IT
• Sarah E Reck, MD
• Reed & Reed, Inc.
• Ciera Reed
• David M Reese
• Jacqueline Ann Rehbein, C.O.T.A.

• General Practice Dentistry in West Bend, WI
• Providers in West Bend, 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 Jul 8, 2007; 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.