Individual provider Active NPI

Stephen Navarre, D.D.S.

  • Endodontics
  • Clinton TWP, MI
National Provider Identifier
1376583625
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
17003 Issued in MI
Practice address
15870 19 Mile Rd
Suite 110
Clinton TWP, MI 48038-3527
Phone
(586) 286-3390
Fax
(586) 286-0287
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 17003 MI Primary

Addresses

Primary practice location

15870 19 Mile Rd
Suite 110
Clinton TWP, MI 48038-3527

Mailing address

15870 19 Mile Rd
Suite 110
Clinton TWP, MI 48038-3527
Phone (586) 286-3390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20161013000853 MI Order and Referring Only - DentistPractitioner - Dentist 5597713495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17003MIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates of Michigan PLLC Endodontics PastSince Mar 11, 2025 Accepting new patients

Organizations & group practices 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376583625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15870 19 MILE RD",
            "address_2": "SUITE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383527",
            "telephone_number": "586-286-3390",
            "fax_number": "586-286-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15870 19 MILE RD",
            "address_2": "SUITE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383527",
            "telephone_number": "586-286-3390",
            "fax_number": "586-286-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRE",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "17003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.