Organization Active NPI

John Stevenson Inc

  • Foot Surgery Podiatrist
  • Dayton, OH
National Provider Identifier
1336318856
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
JOHN STEVENSON INC
Practice address
8721 N Main St
Dayton, OH 45415-1331
Phone
(937) 264-3150
Fax
(937) 264-3171
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Dr. John Regis Stevenson, D.P.M.
Title
Owner
Phone
(937) 264-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

8721 N Main St
Dayton, OH 45415-1331

Mailing address

8721 N Main St
Dayton, OH 45415-1331
Phone (937) 264-3150

Other identifiers 1

IdentifierTypeStateIssuer
2629301MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1336318856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151331",
            "telephone_number": "937-264-3150",
            "fax_number": "937-264-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151331",
            "telephone_number": "937-264-3150",
            "fax_number": "937-264-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN STEVENSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REGIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-264-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2629301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.