Steven Barry Eaton, D.D.S., F.A.G.D.

Primary specialty

DentistTaxonomy code 122300000X

License

6070 Issued in WI

Practice address

2110 Fordem Ave
Madison, WI 53704-4610

Phone

(608) 244-9124

Fax

(608) 244-3992

NPI assigned

Mar 22, 2007

Last updated

Nov 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison Dental LLC

  • Dental Clinic/Center
  • Madison, WI
  • NPI 1417476458
  NPD (past)
• Schupp Chiropractic and Sports Injuries LLC

  • Orthopedic Chiropractor
  • Madison, WI
  • NPI 1982941399
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1225154198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044610",
            "telephone_number": "608-244-9124",
            "fax_number": "608-244-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044610",
            "telephone_number": "608-244-9124",
            "fax_number": "608-244-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "STEVEN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., F.A.G.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017709",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Eastridge, NP-FAMILY
• Eating Disorder Support Network
• Eating Disorder Support Network
• Kelsey James Eaton, DO
• Richard B Eaton, PA-C
• Bradley J Ebacher, PA-C
• Danielle R. Ebben, LCSW, SAC
• Johnathan D Ebben, MD, PHD
• Nathan James Ebben
• Jessica J. Ebbert, CRNA

• Dentist in Madison, WI
• Providers in Madison, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.