McCullough and Stevens

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5210 Issued in AL

Legal business name

MCCULLOUGH AND STEVENS

Practice address

4643 Camp Coleman Rd Ste 125
Trussville, AL 35173-2838

Phone

(205) 218-9823

NPI assigned

Jan 22, 2009

Last updated

Jan 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christian Adama Stevens, DMDNPI 1538263553

Title

Partner Dentist

Phone

(205) 218-9823

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christian Adams Stevens, DMD

  • General Practice Dentistry
  • Moody, AL
  • NPI 1538263553
  Authorized official Same address or phone

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1104064559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 CAMP COLEMAN RD STE 125",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732838",
            "telephone_number": "205-218-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 CAMP COLEMAN RD STE 125",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732838",
            "telephone_number": "205-218-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH AND STEVENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ADAMA",
        "authorized_official_title_or_position": "PARTNER DENTIST",
        "authorized_official_telephone_number": "205-218-9823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Mason, LPC-S, ADC
• Jessica Voss Mays, CRNP, FNP
• Mason McAnnally, DPT
• Sarah Louise McClendon
• Christa McCrorie, LICSW-S, PIP
• Melanie McGee
• Sheila Marie McGill, FNP
• Aubrey Paul McGlaun, DPT
• James L. McKinney, RPH
• Rebecca Naomi Virginia McKinney, ALC, NCC

• General Practice Dentistry in Trussville, AL
• Providers in Trussville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.