Stephanie Elizabeth Patterson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS044403 Issued in PA

Practice address

8127 Stenton Ave
Philadelphia, PA 19150-3530

Phone

(215) 844-1020

NPI assigned

Apr 19, 2021

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.patterson.p1@direct.covenanthousehealth.nextgenshare.com
• Direct secure messaging: stephanie.patterson.p1@direct.gpha.nextgenshare.com

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

• Covenant House Inc

  dba Covenant House Health and Dental

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1699190561
  NPD
• Covenant House Inc

  dba Tabor Kids Pediatric Mini Clinic

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1669177911

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1053992297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 ASHBOURNE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272703",
            "telephone_number": "215-704-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8127 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503530",
            "telephone_number": "215-844-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E 3rd St Unit 301",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180152096",
            "country_code": "US",
            "telephone_number": "484-526-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044403",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Patterson, MS, LPC, LBS, NCC
• Rebecca Patterson
• Shavon Patterson
• Sherell Lorraine Patterson, LSW
• Sierra Patterson
• Michelle Patteson
• Melissa Patti
• Kaitlin C Pattishall, CRNP
• Tanaya Pattnaik
• Briana Perry Patton

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.