Active NPI
Stephen D. Maus, DDS, Professional Corporation
- General Practice Dentistry
- Republic, MO
National Provider Identifier
1154493765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11963
- Legal business name
- STEPHEN D. MAUS, DDS, PROFESSIONAL CORPORATION
- Practice address
- 258 US Highway 60 E
Republic, MO 65738-1938 - Phone
- (417) 732-2823
- Fax
- (417) 732-2823
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Day Maus, DDS
- Title
- President
- Phone
- (417) 732-2823
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11963 | MO | Primary |
Addresses
Primary practice location
258 US Highway 60 E
Republic, MO 65738-1938
Mailing address
258 US Highway 60 E
Republic, MO 65738-1938
Phone (417) 732-2823
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154493765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 US HIGHWAY 60 E",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "657381938",
"telephone_number": "417-732-2823",
"fax_number": "417-732-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 US HIGHWAY 60 E",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "657381938",
"telephone_number": "417-732-2823",
"fax_number": "417-732-2823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN D. MAUS, DDS, PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAUS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "DAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "417-732-2823",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "11963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Republic, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.