Organization Active NPI

Stephen D. Maus, DDS, Professional Corporation

  • General Practice Dentistry
  • Republic, MO
National Provider Identifier
1154493765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11963 Issued in MO
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Day Maus, DDSNPI 1073693230
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.