Individual provider Active NPI

Heather Lynn Stephens, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Concord, CA
National Provider Identifier
1063855997
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
CA65172 Issued in CA
Practice address
1494 Washington Blvd Ste D
Concord, CA 94521-4053
Phone
(925) 672-6200
Fax
(925) 672-2645
NPI assigned
Apr 10, 2013
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X CA65172 CA Primary

Addresses

Primary practice location

1494 Washington Blvd Ste D
Concord, CA 94521-4053

Mailing address

1494 Washington Blvd Ste D
Concord, CA 94521-4053
Phone (925) 672-6200

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

LicenseStateTypeSpecialty
CA65172CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens DDS Inc Orthodontics and Dentofacial Orthopedics CurrentSince Apr 11, 2021 Accepting new patients

Locations

1494 Washington Blvd
Ste D
Concord, CA 94521
Phone (925) 672-6200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1063855997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 WASHINGTON BLVD STE D",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214053",
            "telephone_number": "925-672-6200",
            "fax_number": "925-672-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1494 WASHINGTON BLVD STE D",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214053",
            "telephone_number": "925-672-6200",
            "fax_number": "925-672-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "CA65172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.