Stevensons Dental Ark PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

STEVENSONS DENTAL ARK PLLC

Practice address

11165 La Quinta PL
El Paso, TX 79936-5221

Phone

(915) 591-1999

Fax

(915) 591-3201

NPI assigned

Mar 27, 2015

Last updated

Mar 27, 2015By 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. Nanni T Baker, DDSNPI 1861403529

Title

Manager

Phone

(915) 855-2337

Specialties & licenses 1

Addresses

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.

• Nanni Baker, DDS

  • Pediatric Dentistry
  • El Paso, TX
  • NPI 1861403529
  Authorized official Same address or phone

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1396139390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366829",
            "telephone_number": "915-855-2337",
            "fax_number": "915-503-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11165 LA QUINTA PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365221",
            "telephone_number": "915-591-1999",
            "fax_number": "915-591-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSONS DENTAL ARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "NANNI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-855-2337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl E. Stevens Sr., LCSW
• Robinson Stevens III, DNP, CRNA
• Victoria Stevens
• Stevenson Dental Clinic for Children
• Stevenson Dialysis, LLC (El Paso Peritoneal Dialysis)
• Verlaine M. Stewart-Ray, NP
• Adam Eugene Stewart, OT
• Lauren Stewart, M.S., SLP-CFY
• Stephen Sticht, DMD
• Mark A Stilley, MD

• Pediatric Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.