Active NPI
Stevenson and Cohen, a Professional Corporation
- Endodontics
- Vallejo, CA
National Provider Identifier
1053697128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- STEVENSON AND COHEN, A PROFESSIONAL CORPORATION
- Practice address
- 29 Rotary Way
Vallejo, CA 94591-8475 - Phone
- (707) 554-1764
- NPI assigned
- Nov 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark D Stevenson, DDS
- Title
- Secretary
- Phone
- (707) 544-1764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | CA | Primary |
Addresses
Primary practice location
29 Rotary Way
Vallejo, CA 94591-8475
Mailing address
29 Rotary Way
Vallejo, CA 94591-8475
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396843181 | Other | CA | ENDODONTIST |
| 1366540148 | Other | CA | ENDODONTIST |
National Provider Directory
National Provider DirectoryLocations
29 Rotary Way
Vallejo, CA 94591
Phone (707) 554-1764
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Vallejo, CA
- NPI 1518245604
-
- Endodontics
- Vallejo, CA
- NPI 1164474573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1053697128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 ROTARY WAY",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 ROTARY WAY",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918475",
"telephone_number": "707-554-1764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVENSON AND COHEN, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "707-544-1764",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENDODONTIST",
"identifier": "1396843181",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENDODONTIST",
"identifier": "1366540148",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.