Individual provider Active NPI

Stephen S Garner, DMD

  • General Practice Dentistry
  • Yuma, AZ
National Provider Identifier
1316084585
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6949 Issued in AZ
Practice address
7945 E 24TH St
Yuma, AZ 85365-8602
Phone
(928) 317-1900
Fax
(928) 317-1900
NPI assigned
Jan 30, 2007
Last updated
Mar 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6949 AZ Primary

Addresses

Primary practice location

7945 E 24TH St
Yuma, AZ 85365-8602

Mailing address

7945 E 24TH St
Yuma, AZ 85365-8602
Phone (928) 317-1900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6949AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Garner Thorson Dental, PLLC General Practice PastSince Aug 11, 2019 Accepting new patients
Gila Family Dental LLC General Practice PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1316084585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 E 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853658602",
            "telephone_number": "928-317-1900",
            "fax_number": "928-317-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 E 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853658602",
            "telephone_number": "928-317-1900",
            "fax_number": "928-317-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "STEPHEN",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.