Individual provider Active NPI

Steven Michael Cudney, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Beavercreek, OH
National Provider Identifier
1316385677
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3296 Issued in OH
Practice address
3585 Wendleton LN
Beavercreek, OH 45432-2753
Phone
(937) 426-8083
Fax
(937) 426-2818
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3296 OH Primary

Addresses

Primary practice location

3585 Wendleton LN
Beavercreek, OH 45432-2753

Mailing address

3585 Wendleton LN
Beavercreek, OH 45432-2753
Phone (937) 426-8083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 28, 2024 through Jun 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3296OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Valley Oral Surgery and Dental Implants LLC Oral and Maxillofacial Surgery CurrentSince Jan 7, 2024 Accepting new patients
Jon R. Ewig, DDS, Inc. Oral and Maxillofacial Surgery PastSince Feb 19, 2023 Accepting new patients

Locations

3585 Wendleton Ln
Beavercreek, OH 45432
Phone (937) 426-8083

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1316385677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 WENDLETON LN",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322753",
            "telephone_number": "937-426-8083",
            "fax_number": "937-426-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 WENDLETON LN",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322753",
            "telephone_number": "937-426-8083",
            "fax_number": "937-426-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDNEY",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "3296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.