Organization Active NPI

Stephen F Dewey, DDS

  • General Practice Dentistry
  • Traverse City, MI
National Provider Identifier
1265174270
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEPHEN F DEWEY, DDS
Practice address
431 Munson Ave Ste B
Traverse City, MI 49686-3060
Phone
(231) 946-9045
NPI assigned
Apr 11, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Cathy Vanderwal
Title
Receptionist
Phone
(231) 946-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

431 Munson Ave Ste B
Traverse City, MI 49686-3060

Mailing address

431 Munson Ave Ste B
Traverse City, MI 49686-3060
Phone (231) 946-9045

National Provider Directory

National Provider Directory

Locations

431 Munson Ave
Ste B
Traverse City, MI 49686
Phone (231) 946-9045

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1265174270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MUNSON AVE STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863060",
            "telephone_number": "231-946-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MUNSON AVE STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863060",
            "telephone_number": "231-946-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F DEWEY, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "VANDERWAL",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "231-946-9045"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.