Stephen Beveridge DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STEPHEN BEVERIDGE DDS INC

Practice address

3535 Ross Ave Ste 300
San Jose, CA 95124-3054

Phone

(408) 267-2303

Fax

(408) 267-5840

NPI assigned

Sep 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Leigh Beveridge, DDSNPI 1750445862

Title

Owner/Dentist

Phone

(408) 267-2303

Specialties & licenses 1

Addresses

Other names 1

• Beveridge Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Leigh Beveridge, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1750445862
  NPD Authorized official
• Erin Teresa Beveridge, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1306362348
  NPD

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1215587787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 ROSS AVE STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243054",
            "telephone_number": "408-267-2303",
            "fax_number": "408-267-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSS AVE STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243054",
            "telephone_number": "408-267-2303",
            "fax_number": "408-267-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4860 Cherry Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951183716",
            "country_code": "US",
            "telephone_number": "408-266-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHEN BEVERIDGE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "BEVERIDGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "408-267-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beveridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savonna Stender-Bondesson, ASW
• Mi-Yung Yoon Stenfort, M.D.
• George Alexander Stepanoff Jr., MFT
• Stephanie B Loller DDS PC
• Stephanie Phan Le, D.O. Inc.
• Alicia Stephen, RDT
• Dejaenique Stephens
• Gwen Stephens, MA
• Julie Elizabeth Stephens, M.S., MFT-INTERN
• Laura Toriumi Stephens, PHARM.D.

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.