Active NPI
Nicholas S Stebbins, D.M.D.
- Dentist
- Pittsburgh, PA
National Provider Identifier
1164975843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22842
- Practice address
- 3501 Terrace Street
Salle Hall - 689, Attn. Lisa Lehman
Pittsburgh, PA 15261 - Phone
- (412) 648-8609
- NPI assigned
- Jul 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22842 | MI | Primary |
Addresses
Primary practice location
3501 Terrace Street
Salle Hall - 689, Attn. Lisa Lehman
Pittsburgh, PA 15261
Mailing address
3600 Forbes Avenue Forbes Tower
Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (503) 952-2125
Other practice location 1
4505 Cascade Rd SE # A
Grand Rapids, MI 49546-8381
Phone (616) 228-1210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160912001125 | OR | Order and Referring Only - Dentist | 6507152907 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22842 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Third Coast Dentistry | Current | Accepting new patients | |
| Smile Cascade, P.C. | Past | Accepting new patients | |
| Smile Dental Partners PLLC | Past | Accepting new patients |
Locations
330 Lovell St
Ionia, MI 48846
Phone (616) 527-3460
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Ionia, MI
- NPI 1902668932
-
- Dental Clinic/Center
- Grand Rapids, MI
- NPI 1679062772
-
- Public Health Dentistry
- Grand Haven, MI
- NPI 1942837810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1164975843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE FORBES TOWER",
"address_2": "PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "503-952-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TERRACE STREET",
"address_2": "SALLE HALL - 689, ATTN. LISA LEHMAN",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15261",
"telephone_number": "412-648-8609"
}
],
"practiceLocations": [
{
"address_1": "4505 Cascade Rd SE # A",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495468381",
"country_code": "US",
"telephone_number": "616-228-1210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEBBINS",
"first_name": "NICHOLAS",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-28",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "22842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.