Stephen Haverkos, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30.025709 Issued in OH

Practice address

5754 Bridgetown Rd
Cincinnati, OH 45248-3100

Phone

(513) 481-8000

NPI assigned

Aug 20, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stephen M Haverkos DMD LLC

  • Dental Clinic/Center
  • Cincinnati, OH
  • NPI 1225732795
  NPD Authorized official

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1174049233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5754 BRIDGETOWN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483100",
            "telephone_number": "513-481-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5754 BRIDGETOWN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483100",
            "telephone_number": "513-481-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERKOS",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-20",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.025709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Havens
• Kerry Michelle Havens, MA
• Zachary Ryan Havens, L.P.C.
• Mary Katherine Haverbusch, APRN, AGACNP-BC
• Lisa Haverkamp, BA, LSW
• Stephen Haverkos, MD
• Moria Haverland, LPN
• Allison Haviland
• Meghan Havlin
• Elizabeth Hawes

• Orthodontics and Dentofacial Orthopedics Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.