Organization Active NPI

Craig N Stevens, MD

  • Otolaryngology Physician
  • Holladay, UT
National Provider Identifier
1063853885
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
159834-1205 Issued in UT
Legal business name
CRAIG N STEVENS, MD
Practice address
2576 E Valley View Ave
Holladay, UT 84117-5429
Phone
(801) 573-5040
NPI assigned
Jul 9, 2013
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Craig N Stevens, MD
Title
Owner/President
Phone
(801) 573-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 159834-1205 UT Primary

Addresses

Primary practice location

2576 E Valley View Ave
Holladay, UT 84117-5429

Mailing address

2576 E Valley View Ave
Holladay, UT 84117-5429
Phone (801) 573-5040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1063853885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 E VALLEY VIEW AVE",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175429",
            "telephone_number": "801-573-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 E VALLEY VIEW AVE",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175429",
            "telephone_number": "801-573-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG N STEVENS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-573-5040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "159834-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.