Individual provider Active NPI

Stephen M. Joseph, D.D.S.

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1023003050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18363 Issued in OH
Practice address
1654 S Smithville Rd
Dayton, OH 45410-3247
Phone
(937) 252-8551
Fax
(937) 252-4311
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18363 OH Primary

Addresses

Primary practice location

1654 S Smithville Rd
Dayton, OH 45410-3247

Mailing address

1654 S Smithville Rd
Dayton, OH 45410-3247
Phone (937) 252-8551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326001008 OH Order and Referring Only - DentistPractitioner - Dentist 3173840303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18363OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M. Joseph, D.D.S., Inc. General Practice Past Accepting new patients
Platt Dental Group PastSince Jan 19, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023003050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 S SMITHVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454103247",
            "telephone_number": "937-252-8551",
            "fax_number": "937-252-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 S SMITHVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454103247",
            "telephone_number": "937-252-8551",
            "fax_number": "937-252-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.