Charles Gregory Stephen-Hassard, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3673 Issued in WV

Practice address

1003 Sushruta Dr
Martinsburg, WV 25401-8876

Phone

(304) 263-3367

Fax

(304) 263-1634

NPI assigned

Sep 13, 2005

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

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.

• DRS Bonifant & Brookreson DDS PLLC

  • Dentist
  • Martinsburg, WV
  • NPI 1356451405
  NPD (past)
• Jay S Boyd DDS PLLC

  • General Practice Dentistry
  • Martinsburg, WV
  • NPI 1578709622
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1184619538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 RIPE BERRY LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254034882",
            "telephone_number": "617-759-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SUSHRUTA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018876",
            "telephone_number": "304-263-3367",
            "fax_number": "304-263-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHEN-HASSARD",
        "first_name": "CHARLES",
        "middle_name": "GREGORY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Stearn
• Logan Steele
• Charles Henry Steg Jr.
• Marcia A Stengel
• Fredna Stenger, R,D,
• Betty Stephens
• Melissa Stephens
• Devin Stephenson
• Stepping Stones Cottages, LLC
• Jessica D Stevens

• General Practice Dentistry in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.