Organization Active NPI

Stephen L Stiller DDS PC

  • General Practice Dentistry
  • Floyds Knobs, IN
National Provider Identifier
1184733842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008519A Issued in IN
Legal business name
STEPHEN L STILLER DDS PC
Practice address
3525 Paoli Pike
Floyds Knobs, IN 47119
Phone
(812) 948-5930
Fax
(812) 948-5931
NPI assigned
Aug 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen L Stiller, DDS PCNPI 1619184892
Title
President Owner
Phone
(812) 948-5930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12008519A IN Primary

Addresses

Primary practice location

3525 Paoli Pike
Floyds Knobs, IN 47119

Mailing address

3525 Paoli Pike
PO Box 99
Floyds Knobs, IN 47119
Phone (812) 948-5930

National Provider Directory

National Provider Directory

Locations

3525 Paoli Pike
Floyds Knobs, IN 47119
Phone (812) 948-5930

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184733842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PAOLI PIKE",
            "address_2": "PO BOX 99",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "47119",
            "telephone_number": "812-948-5930",
            "fax_number": "812-948-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PAOLI PIKE",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "47119",
            "telephone_number": "812-948-5930",
            "fax_number": "812-948-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L STILLER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "812-948-5930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008519A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floyds Knobs, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.