Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TODD A STAHNKE D.D.S.
NPI 1124007844
Dentist - General Practice in Black Earth, WI

Active since January 11, 2006PECOS Enrolled
1209 MILLS ST, BLACK EARTH, WI 53515(608) 767-3604(608) 767-3606 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Todd A Stahnke D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TODD A STAHNKE D.D.S. (NPI 1124007844) is an individual general practice provider in Black Earth, Wisconsin, licensed in Wisconsin (4759-015) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124007844
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTODD A STAHNKECredential: D.D.S.
Location Address1209 MILLS STBlack Earth, WI 53515-9420
Mailing Address1250 Prairie StPrairie Du Sac, WI 53578-2041 · (608) 643-8505 · Fax (608) 643-8097
Fax(608) 767-3606
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1124007844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 4759-015
Definition
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.
1209 MILLS ST, Black Earth, WI 53515

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Todd A Stahnke D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53515 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1209 MILLS ST
BLACK EARTH, WI 53515
Dental Hygienist
1209 MILLS ST
BLACK EARTH, WI 53515
Dental Hygienist
1209 MILLS ST
BLACK EARTH, WI 53515
Dental Hygienist
1209 MILLS ST
BLACK EARTH, WI 53515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Stahnke's NPI number?

The NPI number for Todd Stahnke is 1124007844. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Todd Stahnke located?

Todd Stahnke practices at 1209 Mills St, Black Earth, WI 53515. The listed phone number is (608) 767-3604.

What is Todd Stahnke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Todd Stahnke enrolled in Medicare?

Yes. Todd Stahnke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Todd Stahnke was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.