Viviana Stellenwerf, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

37728 Issued in TX

Practice address

2325 Timber Shadows Dr BLDG a
Kingwood, TX 77339-2028

Phone

(713) 805-5887

NPI assigned

Jun 4, 2021

Sex

Female

Sole proprietor

Yes

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.

• Stellenwerf Dental Studio

  • Dental Clinic/Center
  • Kingwood, TX
  • NPI 1396514337
  NPD Authorized official

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1194392696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 TIMBER SHADOWS DR BLDG A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392028",
            "telephone_number": "713-805-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 TIMBER SHADOWS DR BLDG A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392028",
            "telephone_number": "713-805-5887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3607 Old Spanish Trail Suite G",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77021",
            "country_code": "US",
            "telephone_number": "281-248-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELLENWERF",
        "first_name": "VIVIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "37728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steed Vision Care LLC
• Avrum Mark Stein, D.O.
• Devin Alexander Stein, PA-C
• Olivia Steinhauser
• Stellenwerf Dental Studio
• William Stellenwerf, DDS
• Amanda P Stemmans, FNP-C
• Stephen E. Gustafson, O.D.
• Stephen G Eichelsdorfer, DPM, PA
• Stephen G, Eichelsdorfer DPM, PA

• Dentist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.