Individual provider Active NPI

Stephen Douglas Vester, DDS PA

  • Dentist
  • Mountain Home, AR
National Provider Identifier
1073601969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2526 Issued in AR
Practice address
250 Bucher Drive
Mountain Home, AR 72653-3400
Phone
(870) 425-7645
Fax
(870) 425-9325
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2526 AR Primary

Addresses

Primary practice location

250 Bucher Drive
Mountain Home, AR 72653-3400

Mailing address

250 Bucher Drive
Mountain Home, AR 72653-3400
Phone (870) 425-7645

Other identifiers 3

IdentifierTypeStateIssuer
542296OtherUNITED CONCORDIA
2526OtherDELTA DENTAL
58797OtherBCBS

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2526ARMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073601969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BUCHER DRIVE",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533400",
            "telephone_number": "870-425-7645",
            "fax_number": "870-425-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BUCHER DRIVE",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533400",
            "telephone_number": "870-425-7645",
            "fax_number": "870-425-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESTER",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "542296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "2526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

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