Individual provider Active NPI

Nicholas S Stebbins, D.M.D.

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1164975843
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22842 Issued in MI
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

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912001125 OR Order and Referring Only - DentistPractitioner - Dentist 6507152907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22842MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.