TODD A STAHNKE (NPI# 1124007844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124007844 |
| Entity Type | Individual |
| Full Name | TODD A STAHNKE |
| Credential | D.D.S. |
| Practice Address |
1209 Mills St Black Earth WI 53515-9420 |
| Mailing Address |
1250 Prairie St Prairie Du Sac WI 53578-2041 |
| Practice Telephone | 6087673604 |
| Practice Fax Number | 6087673606 |
| Mailing Telephone | 6086438505 |
| Mailing Fax Number | 6086438097 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4759-015 | WI | Dental Providers |
| Street Address |
1209 MILLS ST |
| City | BLACK EARTH |
| State | WI |
| Zip Code | 53515-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174500813 | Village Family Dental Asscociates | Dentist | 1209 Mills St, Black Earth, WI 53515-9420 | 2005-12-23 |
| 1215906243 | Stacy J Schmidt | Dental Hygienist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-03-14 |
| 1790765659 | Melinda A Heathcote | Dental Hygienist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-01-18 |
| 1285614131 | Maria Coffey | Dental Hygienist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026650 | Hegerfeld Chiropractic LLC | Chiropractor | 9749 Kahl Road, Black Earth, WI 53515 | 2018-06-11 |
| 1174588982 | Linnea J. Smith | Emergency Medicine | 1518 Mills St, Black Earth, WI 53515-9423 | 2006-04-18 |
| 1215445499 | Tessa Slama | Behavioral Analyst | 1100 Hillcrest Rd, Black Earth, WI 53515-9439 | 2018-01-22 |
| 1972841278 | Nicole Ducharme | Chiropractor | 4866 Carya Rd, Black Earth, WI 53515-9508 | 2013-01-21 |
| 1003058710 | Jpm Chiropractic LLC | Chiropractor | 9749 Kahl Rd, Black Earth, WI 53515-9516 | 2009-03-26 |
| 1902146160 | Black Earth Chiropractic LLC | Clinic/Center | 9749 Kahl Rd, Black Earth, WI 53515-9516 | 2013-02-26 |
| 1215292982 | Vanessa M Sievert | Occupational Therapist | 2043 Stephanie Ct, Black Earth, WI 53515-9520 | 2012-07-09 |
| 1003819616 | Trousdale Foundation, Inc Benchmark Healthcare of Dane County | Skilled Nursing Facility | 634 Center St, Black Earth, WI 53515-9544 | 2005-05-27 |
| 1699317495 | Bailey Lynn Brokmeier | Occupational Therapy Assistant | 634 Center St, Black Earth, WI 53515-9544 | 2019-10-13 |
| 1417495417 | Amy Treichel | Occupational Therapist | 634 Center St, Black Earth, WI 53515-9544 | 2017-02-09 |
| Find all providers in zip 53515 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174500813 | Village Family Dental Asscociates | Dentist | 1209 Mills St, Black Earth, WI 53515-9420 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | BLACK EARTH |
| Zip Code | 53515 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.