Active NPI
Stephanie Michelle Ward, D.D.S.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1417000274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- BW8041939
- Practice address
- 2345 W Cermak Rd
Chicago, IL 60608-3811 - Phone
- (773) 579-0500
- Fax
- (773) 579-0335
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019025760 | IL | |
| General Practice Dentistry | 1223G0001X | 319014416 | IL | |
| General Practice Dentistry | 1223G0001X | BW8041939 | IL | Primary |
Addresses
Primary practice location
2345 W Cermak Rd
Chicago, IL 60608-3811
Mailing address
2345 W Cermak Rd
Chicago, IL 60608-3811
Phone (773) 579-0500
Other names 1
- Dr. Stephanie Michelle Ward-Harris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019025760 | IL | MD | General Practice Dentistry |
| 319014416 | IL | MD | General Practice Dentistry |
| BW8041939 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Dentistry LLC | 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.
-
- Dentist
- Chicago, IL
- NPI 1548142854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417000274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 W CERMAK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083811",
"telephone_number": "773-579-0500",
"fax_number": "773-579-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 W CERMAK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083811",
"telephone_number": "773-579-0500",
"fax_number": "773-579-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019025760",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "319014416",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "BW8041939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "WARD-HARRIS",
"middle_name": "MICHELLE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.