Charles Herbert Stevens III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30020192 Issued in OH

Practice address

1523 N Market St
Troy, OH 45373-9767

Phone

(937) 335-4630

Fax

(937) 335-5174

NPI assigned

Dec 13, 2006

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

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Mark T Bentley DDS Inc

  • General Practice Dentistry
  • Troy, OH
  • NPI 1184783110
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164583886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 HARDWICK CT",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453719389",
            "telephone_number": "937-332-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 N MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453739767",
            "telephone_number": "937-335-4630",
            "fax_number": "937-335-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CHARLES",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Michelle Stayrook
• Julie Steinke, PTA
• Claudia L Stephens
• Kimberly S Stephens, MS, LSW, LICDC, LPC
• Theresa Stephenson, LPCC
• Cheryl Stewart
• Holly Ann Stewart
• Sydney Stidham
• Sarah Ann Stinson, MS APRN AGACNP-BC
• Stouder Chiropractic, Inc

• General Practice Dentistry in Troy, OH
• Providers in Troy, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• 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.