Brooks Michael Stevens, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23533 Issued in TX

Practice address

3701 Hulen St Ste 141
Fort Worth, TX 76107-6803

Phone

(817) 737-8181

NPI assigned

Apr 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harris Parkway Dental Care, PLLC

  • Dentist
  • Fort Worth, TX
  • NPI 1184919441
  NPD (past) Authorized official
• HPD Clinical PLLC

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1356289458
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1306011333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 HIDDEN HILLS CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761089272",
            "telephone_number": "214-226-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 HULEN ST STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076803",
            "telephone_number": "817-737-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BROOKS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23533",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven R. Edmondson MD, PA
• Steven Renas DMD PLLC (Eagle Mountain Dentistry)
• Steven Simmons DO PLLC
• Michael John Stevener, M.D.
• Amy Lynn Stevens, ANP
• Christopher B Stevens, MD
• Colette D. Stevens, CRNA
• Katherine Margaret Stevens, DPT
• Kenya Stevens
• Marti Stevens, RN

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.