Stephen John Cherban, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS20988L Issued in PA

Practice address

2005 W 8TH St
Suite 203
Erie, PA 16505-4759

Phone

(814) 456-9138

NPI assigned

Nov 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366519472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 W 8TH ST",
            "address_2": "SUITE 203",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054759",
            "telephone_number": "814-456-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W 8TH ST",
            "address_2": "SUITE 203",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054759",
            "telephone_number": "814-456-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERBAN",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS20988L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andy Chen, DO
• Jason C Chenault, ACPI, CEM, OHCC
• Michele Ann Chereson, CRNP
• Timothy Cheslock, DO
• Angela Marie Chesnut, LSW
• Michael D Chessario, O.D.
• Chest Diseases of Northwestern PA

• Dentist in Erie, PA
• Providers in Erie, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.