Don Allen Stevenson DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22289 Issued in CA

Legal business name

DON ALLEN STEVENSON DDS INC.

Practice address

150 N Jackson Ave
Suite 204
San Jose, CA 95116-1908

Phone

(408) 259-4515

Fax

(408) 259-4599

NPI assigned

Jun 18, 2014

Last updated

Jun 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Don Allen Stevenson, D.D.S.NPI 1063562205

Title

President

Phone

(408) 259-4515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Don Allen Stevenson, D.D.S

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1063562205
  NPD (past) Authorized official

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1316351216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N JACKSON AVE",
            "address_2": "SUITE 204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161908",
            "telephone_number": "408-259-4515",
            "fax_number": "408-259-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N JACKSON AVE",
            "address_2": "SUITE 204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161908",
            "telephone_number": "408-259-4515",
            "fax_number": "408-259-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON ALLEN STEVENSON DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-259-4515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Jean Dominguez, LCSW
• Nicole Leann Dominguez, LCSW
• Robert Dominguez, DDS
• Samantha Dominguez
• Yen Le Dominguez, PA-C
• David Dona, PA-C
• Donald J. Prolo, M.D., Inc.
• Donald S. Yoshioka, DDS, Inc.
• Donald Siao, MD, a Medical Corporation
• Donald W Boyle DDS Inc

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.