William Stevenson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018721 Issued in MI

Practice address

1243 East Main Street
Pinckney, MI 48169

Phone

(734) 878-3145

Fax

(734) 878-0948

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinckney Family Dentistry

  • General Practice Dentistry
  • Pinckney, MI
  • NPI 1841334919
  NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407993546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 EAST MAIN STREET",
            "address_2": "P.O. BOX 136",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "48169",
            "telephone_number": "734-878-3145",
            "fax_number": "734-878-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 EAST MAIN STREET",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "48169",
            "telephone_number": "734-878-3145",
            "fax_number": "734-878-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Schultz
• Victoria Joanne Seal, OTR
• John Shamraj, DDS
• Christopher Sitler, PT, DPT, MS
• Ashley Elizabeth Stalmack, D.C.
• Max David Sturm
• Michelle Sunny, MA
• Deanna J Swan, LLMSW
• Taylor Sydow, MA CCC SLP
• Paul James Tarvis

• General Practice Dentistry in Pinckney, MI
• Providers in Pinckney, MI by specialty
• General Practice Dentistry in Michigan

• 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.