Stephen Michael Musick, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14731 Issued in OH

Practice address

2760 Parkman Rd NW
Warren, OH 44485

Phone

(330) 898-1811

Fax

(330) 898-7056

NPI assigned

Sep 22, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Stephen M Musick DDS Inc

  • Dentist
  • Warren, OH
  • NPI 1558450999
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1215037072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44485",
            "telephone_number": "330-898-1811",
            "fax_number": "330-898-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44485",
            "telephone_number": "330-898-1811",
            "fax_number": "330-898-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSICK",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "14731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341266183027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL UNISON",
            "identifier": "9179980",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266975",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Edward Muntean Jr., LPN
• Anna Marie Murphy, CDCA
• Theresa Anne Murphy, CNS
• Thomas Murphy
• James Joseph Murray, CDCA
• Rachel Mussalow
• Preetha Muthusamy, MD
• Amy Myers, BC-APRN, FNP
• Cole Myers
• Edward Glenn Myers, D.O.

• Dentist in Warren, OH
• Providers in Warren, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.