Stephen Lee Renner D.D.S. P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3217 Issued in NC

Legal business name

STEPHEN LEE RENNER D.D.S. P.A.

Practice address

4936 Windy Hill Dr
A
Raleigh, NC 27609-4930

Phone

(919) 876-3196

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Lee Renner, DDS

Title

Dentist

Phone

(919) 876-3196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1124196993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 WINDY HILL DR",
            "address_2": "A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094930",
            "telephone_number": "919-876-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 WINDY HILL DR",
            "address_2": "A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094930",
            "telephone_number": "919-876-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN LEE RENNER D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-876-3196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.