Kristin Stevens, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011445A Issued in IN

Practice address

5873 N State Road 135
Greenwood, IN 46143-5616

Phone

(317) 548-2627

Fax

(317) 548-2305

NPI assigned

Jul 5, 2010

Sex

Female

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kristin Stevens

  • General Practice Dentistry
  • Greenwood, IN
  • NPI 1922805969
  NPD Authorized official
• Dental Professionals of Indiana, P.C.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1467674978
  NPD (past)

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1144532318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PL STE 111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545604",
            "telephone_number": "317-329-7170",
            "fax_number": "317-329-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5873 N STATE ROAD 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461435616",
            "telephone_number": "317-548-2627",
            "fax_number": "317-548-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6920 Parkdale Pl Ste 111",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462545604",
            "country_code": "US",
            "telephone_number": "317-329-7170",
            "fax_number": "317-329-7372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KRISTIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011445A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Stephens, RBT
• Samantha Jo Stephens, AGACNP-BC
• Kyle Phillip Stepler, LMHC
• Steven P Haug DDS MSD LLC
• Jacob Stevens, DMD
• Victoria Stewart
• Robert James Stiles, PA-C
• Shelley R Stiner, DO
• Stitle Dermatology, LLC
• Laura T Stitle, MD

• General Practice Dentistry in Greenwood, IN
• Providers in Greenwood, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.