David King-Stephens,M.D., Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A67009 Issued in CA

Legal business name

DAVID KING-STEPHENS,M.D., INC

Practice address

2100 Webster St
Ste 115
San Francisco, CA 94115-2373

Phone

(415) 600-7880

Fax

(415) 600-7885

NPI assigned

May 22, 2009

Organization subpart

No

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

Authorized official

Name

David King-Stephens, MD

Title

President

Phone

(415) 600-7880

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• David King-Stephens, M.D.

  • Epilepsy Physician
  • Orange, CA
  • NPI 1700973633

  Neurology

  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1225263056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-600-7880",
            "fax_number": "415-600-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-600-7880",
            "fax_number": "415-600-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KING-STEPHENS,M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "KING-STEPHENS, MD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-600-7880"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A67009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00408771",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A670090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David Shen Dental Corp
• David Shen Dental Corp

• Neurology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.