Andrew Stevenson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

09303 Issued in IA

Practice address

1005 Grand Ave
Stuite 200
West Des Moines, IA 50265-3577

Phone

(515) 223-1940

Fax

(515) 223-1062

NPI assigned

Jun 28, 2016

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

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Chad B Stevenson DDS PC

  • Clinic/Center
  • West Des Moines, IA
  • NPI 1285891176
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1225489685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 GRAND AVE",
            "address_2": "STUITE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653577",
            "telephone_number": "515-223-1940",
            "fax_number": "515-223-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 GRAND AVE",
            "address_2": "STUITE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653577",
            "telephone_number": "515-223-1940",
            "fax_number": "515-223-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "09303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steinmann Family Health Clinic PC
• Edward Adolph Steinmann Jr., D.O., D.C.
• Sarah Stephas, CRNA
• Stepping Stone Family Services Inc.
• Erin Stevens, PHD
• Andrew Nelson Stevenson, DO
• Chad B Stevenson, DDS
• Brett Stewart, PA
• Jacoby D Stieler, ARNP
• Still Pond Psychiatry, PLLC

• All providers in West Des Moines, IA
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.