Individual provider Active NPI

Stephanie Scheich, DDS

  • General Practice Dentistry
  • Castle Rock, CO
National Provider Identifier
1407070378
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8440 Issued in CO
Practice address
562 E Castle Pines Pkwy Ste C8
Castle Rock, CO 80108-4609
Phone
(720) 733-7799
Fax
(720) 733-0677
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8440 CO
General Practice Dentistry 1223G0001X 8440 CO Primary

Addresses

Primary practice location

562 E Castle Pines Pkwy Ste C8
Castle Rock, CO 80108-4609

Mailing address

250 Max Dr Ste 202
Castle Pines, CO 80108-9519
Phone (720) 733-7799

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
I20150522000379 CO Order and Referring Only - DentistPractitioner - Dentist 1557681178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8440COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1407070378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAX DR STE 202",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089519",
            "telephone_number": "720-733-7799",
            "fax_number": "720-733-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 E CASTLE PINES PKWY STE C8",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801084609",
            "telephone_number": "720-733-7799",
            "fax_number": "720-733-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEICH",
        "first_name": "STEPHANIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8440",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.