Active NPI
Christopher John Stevens, DDS
- Dentist
- Sun Prairie, WI
National Provider Identifier
1255344685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2738
- Practice address
- 425 W Main Street
Sun Prairie, WI 53590-2971 - Phone
- (608) 837-4880
- Fax
- (608) 837-8515
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2738 | WI | Primary |
Addresses
Primary practice location
425 W Main Street
Sun Prairie, WI 53590-2971
Mailing address
425 W Main Street
Sun Prairie, WI 53590-2971
Phone (608) 837-4880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Fear Dentistry Sun Prairie LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255344685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W MAIN STREET",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902971",
"telephone_number": "608-837-4880",
"fax_number": "608-837-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W MAIN STREET",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902971",
"telephone_number": "608-837-4880",
"fax_number": "608-837-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "2738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.