Active NPI
George S. Stevens, D.M.D.
- Dentist
- Boston, MA
National Provider Identifier
1114148152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14929
- Practice address
- 26 Marlborough St
Boston, MA 02116-2157 - Phone
- (617) 266-0441
- Fax
- (617) 266-9516
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14929 | MA | Primary |
Addresses
Primary practice location
26 Marlborough St
Boston, MA 02116-2157
Mailing address
26 Marlborough St
Boston, MA 02116-2157
Phone (617) 266-0441
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14929 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Arts of Boston | Dentist | Past | Accepting new patients |
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": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114148152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MARLBOROUGH ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162157",
"telephone_number": "617-266-0441",
"fax_number": "617-266-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MARLBOROUGH ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162157",
"telephone_number": "617-266-0441",
"fax_number": "617-266-9516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "GEORGE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "14929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
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.