Matthew Stephens, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401-414446 Issued in VA

Practice address

403 Roanoke Blvd
Salem, VA 24153-5007

Phone

(084) 389-0225

NPI assigned

Jun 12, 2014

Last updated

Jun 12, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1265846786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535007",
            "telephone_number": "084-389-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535007",
            "telephone_number": "084-389-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401-414446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitta M Statome, PA-C
• Ivaylo D Staykov, M.D.
• Sarah J Steele-Killeen, D.O.
• Lee Anne Steffe, MD
• Elizabeth Stein, PHD
• Nathan Charles Stephens, DDS
• James Stephenson
• Heather Nicole Stevens, PA-C
• Rebecca Elizabeth Stevenson, PSY.D., MA
• Bruce Stewart, MD

• General Practice Dentistry in Salem, VA
• Providers in Salem, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.