Active NPI
Stephen Lee Vickers, D.D.S.
- Dentist
- Houston, TX
National Provider Identifier
1043485154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16316
- Practice address
- 13810 Champion Forest Dr Ste 204
Houston, TX 77069-1868 - Phone
- (281) 440-1200
- Fax
- (281) 440-3578
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16316 | TX | Primary |
Addresses
Primary practice location
13810 Champion Forest Dr Ste 204
Houston, TX 77069-1868
Mailing address
13810 Champion Forest Dr Ste 204
Houston, TX 77069-1868
Phone (281) 440-1200
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 |
|---|---|---|---|
| 16316 | TX | MD | Pediatric Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vickers Family Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Houston, TX
- NPI 1689238289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1043485154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13810 CHAMPION FOREST DR STE 204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770691868",
"telephone_number": "281-440-1200",
"fax_number": "281-440-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13810 CHAMPION FOREST DR STE 204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770691868",
"telephone_number": "281-440-1200",
"fax_number": "281-440-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "STEPHEN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.