Dennis Lee Stevens, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

0334 Issued in IL

Practice address

321 Lake Land Blvd
Mattoon, IL 61938-3905

Phone

(217) 234-6426

Fax

(217) 234-9853

NPI assigned

Apr 16, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063637148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 PRAIRIE AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619382623",
            "telephone_number": "217-234-6426",
            "fax_number": "217-234-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 LAKE LAND BLVD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619383905",
            "telephone_number": "217-234-6426",
            "fax_number": "217-234-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DENNIS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "0334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332B00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skyler Starwalt, B.S.
• Kyla Jo Steffen
• Sean M Step, RPH
• Stephens Neuropathy & Pain Solutions Inc
• Jamie Devon Stephens, D.C.
• Jeremy Shane Stevens, M.D.
• Anise Stitnizky, BS
• Madeleine Stone
• Amanda Stout, LCPC
• Derek Stout, D.O.

• Hearing Instrument Specialist in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.