Corban R. Stettler, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

00010299 Issued in CO

Practice address

5430 E Woodmen Rd
Colorado Springs, CO 80920-8067

Phone

(719) 424-4668

Fax

(719) 424-4667

NPI assigned

Jun 30, 2010

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

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.

• Stettler KR Broadmoor PLLC

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1578181103

  Pediatric Dentistry

  NPD Authorized official
• Corban Stettler, DDS PC

  • Dentist
  • Colorado Springs, CO
  • NPI 1700275062
  NPD (past) Authorized official
• Stettler KR Union, PLLC

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1366207169

  Pediatric Dentistry

  NPD (past) Authorized official

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1275844607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208067",
            "telephone_number": "719-424-4668",
            "fax_number": "719-424-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208067",
            "telephone_number": "719-424-4668",
            "fax_number": "719-424-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETTLER",
        "first_name": "CORBAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00010299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dani Alyssa Warmund Stern, AUD
• Josselyn B Stern, LPC
• Amber Sterner
• Stettler KR Broadmoor PLLC
• Stettler KR Union, PLLC
• Matthew Steuer, D.M.D.
• Steven D. Newman, Psy.D, Abpp, PC
• Steven E Murk, MD PC
• Steven F. Reck, DDS, PC
• Steven F. Reck, DDS, PC

• Pediatric Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.