Neil K. Stevenson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0013181 Issued in FL

Practice address

12078 San Jose Blvd # 1
Jacksonville, FL 32223-1842

Phone

(904) 268-4466

Fax

(904) 268-5904

NPI assigned

Jan 29, 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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033255237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12078 SAN JOSE BLVD # 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231842",
            "telephone_number": "904-268-4466",
            "fax_number": "904-268-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12078 SAN JOSE BLVD # 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231842",
            "telephone_number": "904-268-4466",
            "fax_number": "904-268-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "NEIL",
        "middle_name": "K.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebeka Stevens
• Wendy H Stevens, PA-C
• Julie Ann Stevenson Kelly, MSW
• Heather Stevenson
• Matthew S Stevenson, MD
• Richard Allan Stevenson, DDS
• Jonas Ashton Steward
• Adrian Yvonne Stewart
• Angela Erica Stewart, BCBA
• Chelsea Alyssa Stewart, LMHC

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• 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.