Stephen Porter, DDS, MSD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN14647 Issued in FL

Practice address

1897 Palm Beach Lakes Blvd Ste 215
West Palm Beach, FL 33409-3508

Phone

(561) 255-8377

NPI assigned

Jan 11, 2022

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1093466211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7781 WOODSMUIR DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334121612",
            "telephone_number": "561-691-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 PALM BEACH LAKES BLVD STE 215",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093508",
            "telephone_number": "561-255-8377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7781 Woodsmuir Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334121612",
            "country_code": "US",
            "telephone_number": "561-255-8377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN14647",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN14647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mairelys Portales
• Le'Chaundra Portee
• Tania Portelles-Driggs
• Alicia Porter
• Jessica Amelia Porter, M.D.
• Mirta De la Caridad Portieles Rodriguez
• Roselyn Portnoff, MA
• Angela Victoria Portnoy
• Randy Jesus Porto Perez
• Positive Behavioral Services Corp

• Periodontics in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.