Glenn Wesley Stevens

Primary specialty

DentistTaxonomy code 122300000X

License

33998 Issued in CA

Practice address

4955 K Felspar St
Riverside, CA 92509

Phone

(951) 681-8175

Fax

(951) 681-9529

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Smile Dental and Orthodontics Office of Dr Rahij Obid

  • Oral and Maxillofacial Surgery (Dentist)
  • Jurupa Valley, CA
  • NPI 1174265540
  NPD (past)
• Jorge Enciso, DDS, Inc.

  • Dental Clinic/Center
  • Yucaipa, CA
  • NPI 1447829338
  NPD (past)
• Neal a Johnson DDS Inc.

  • Dentist
  • Yucaipa, CA
  • NPI 1023894326
  NPD (past)
• Rahij Obid DDS

  • Dental Clinic/Center
  • Jurupa Valley, CA
  • NPI 1801484373
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124154513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34366 K YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-797-9247",
            "fax_number": "909-797-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 K FELSPAR ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92509",
            "telephone_number": "951-681-8175",
            "fax_number": "951-681-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "GLENN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stepping Stones Family Therapy Services Inc
• Nichole Louise Sterk
• Marjean Sterling
• Steven L. Francis D.D.S., Inc.
• Steven Le, DMD Dental Corporation
• Jasmine Stevens, LPT
• Mary Elizabeth Stevens, AMFT
• Mikesha Stevens
• Emily Nicole Stevenson, BA, SLPA
• Emma Stevenson, NONE

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• 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.