Active NPI
Stephen J. Schiffer, DDS
- General Practice Dentistry
- Alamosa, CO
National Provider Identifier
1003898016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 104830
- Practice address
- 128 Market St
Alamosa, CO 81101-2290 - Phone
- (719) 587-1001
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 104830 | CO | Primary |
Addresses
Primary practice location
128 Market St
Alamosa, CO 81101-2290
Mailing address
100 Edison Ave
Alamosa, CO 81101-2589
Phone (719) 589-4946
Other practice location 1
100 Edison Ave
Alamosa, CO 81101-2589
Phone (719) 589-4946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104830 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1003898016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EDISON AVE",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012589",
"telephone_number": "719-589-4946",
"fax_number": "719-589-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 MARKET ST",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012290",
"telephone_number": "719-587-1001"
}
],
"practiceLocations": [
{
"address_1": "100 Edison Ave",
"address_purpose": "LOCATION",
"city": "Alamosa",
"state": "CO",
"postal_code": "811012589",
"country_code": "US",
"telephone_number": "719-589-4946",
"fax_number": "719-589-4949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHIFFER",
"first_name": "STEPHEN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "104830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.