Individual provider Active NPI

Matthew Alldredge Stevens, D.D.S.

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1396973681
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9268 Issued in OR
Practice address
18680 E Iliff Ave Ste Ab
Aurora, CO 80013-6540
Phone
(303) 751-5010
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D9268 OR Primary
General Practice Dentistry 1223G0001X DEN.00010216 CO

Addresses

Primary practice location

18680 E Iliff Ave Ste Ab
Aurora, CO 80013-6540

Mailing address

18680 E Iliff Ave Ste Ab
Aurora, CO 80013-6540
Phone (303) 751-5010

Other practice location 1

5657 S Himalaya St Ste 270
Centennial, CO 80015-5310
Phone (720) 767-0646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20161208000883 CO Order and Referring Only - DentistPractitioner - Dentist 3072891639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9268ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Dental Parters General Practice Past 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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1396973681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18680 E ILIFF AVE STE AB",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136540",
            "telephone_number": "303-751-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18680 E ILIFF AVE STE AB",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136540",
            "telephone_number": "303-751-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5657 S Himalaya St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800155310",
            "country_code": "US",
            "telephone_number": "720-767-0646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MATTHEW",
        "middle_name": "ALLDREDGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9268",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00010216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.