Active NPI
Kristin Steele, D.M.D
- Dentist
- Prescott, AZ
National Provider Identifier
1184032328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D009042
- Practice address
- 980 Willow Creek Rd
Suite 103
Prescott, AZ 86301-1611 - Phone
- (928) 445-1682
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- 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 | D009042 | AZ | Primary |
Addresses
Primary practice location
980 Willow Creek Rd
Suite 103
Prescott, AZ 86301-1611
Mailing address
980 Willow Creek Rd
Suite 103
Prescott, AZ 86301-1611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009042 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1184032328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 WILLOW CREEK RD",
"address_2": "SUITE 103",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 WILLOW CREEK RD",
"address_2": "SUITE 103",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011611",
"telephone_number": "928-445-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "KRISTIN",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D009042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.