Eber Luis Lima Stevao, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

30025316 Issued in OH

Practice address

1575 Cross Creeks Blvd
Pickerington, OH 43147-8237

Phone

(614) 751-7500

Fax

(614) 322-7900

NPI assigned

Mar 7, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1184126096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 CROSS CREEKS BLVD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478237",
            "telephone_number": "614-751-7500",
            "fax_number": "614-322-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CROSS CREEKS BLVD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478237",
            "telephone_number": "614-751-7500",
            "fax_number": "614-322-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVAO",
        "first_name": "EBER LUIS",
        "middle_name": "LIMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "30025316",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30025316",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30025316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Steckman
• Tanya Marie Steele
• Kenedi Stein, LNHA
• Step Lively Foot and Ankle Centers Inc
• Nikolas Andrew Stepanovsky, PHARMD
• Jacki Lynn Stevens
• Maggie May Stinson, LPN
• Nicole Picquet Stokes, MA
• Travis William Storm, O.D.
• Brenda Louise Stottsberry

• Oral & Maxillofacial Surgery (D.M.D.) in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.