Stiven Mita DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STIVEN MITA DMD LLC

Practice address

2438 Brown St Unit 1
Philadelphia, PA 19130-1932

Phone

(215) 236-6200

Fax

(215) 236-2377

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Stiven Mita, DMDNPI 1508432618

Title

Dentist/Owner

Phone

(267) 977-4638

Specialties & licenses 1

Addresses

Other names 3

• Mita Dental Doing business as
• Stiven Mita DMD Doing business as
• Stiven Mita Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stiven Mita, DMD

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1508432618
  NPD Authorized official
• Anudeep Kaur Grewal, DMD

  • General Practice Dentistry
  • Havertown, PA
  • NPI 1003469685
  NPD (past)
• David A Tecosky, DMD

  • Dentist
  • Philadelphia, PA
  • NPI 1386669968
  NPD (past)

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1043096159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 BROWN ST UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 BROWN ST UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301932",
            "telephone_number": "215-236-6200",
            "fax_number": "215-236-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 N Main St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552720",
            "country_code": "US",
            "telephone_number": "609-953-7199",
            "fax_number": "609-953-0314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STIVEN MITA DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "MITA",
        "authorized_official_first_name": "STIVEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "267-977-4638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mita Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stiven Mita DMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stiven Mita Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stiven Mita Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Stires
• Collin Stirpe, MD
• Shana D Stites, PSYD
• Angelique Stith
• Melanie E Stitt, LMSW
• Megan Stobart-Gallagher, D.O.
• Kevin L Stockton, MD
• Mackenzie M Stocum, MS
• Jaimee Stoczko, LSW
• Ellen D. Stoddard, PH.D.

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.