Individual provider Active NPI

Stephen P. Kerper, D.D.S.

  • General Practice Dentistry
  • Oxnard, CA
National Provider Identifier
1417072166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30387 Issued in CA
Practice address
1920 Outlet Center Drive
Oxnard, CA 93036
Phone
(805) 983-0245
Fax
(805) 983-0341
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30387 CA Primary

Addresses

Primary practice location

1920 Outlet Center Drive
Oxnard, CA 93036

Mailing address

1920 Outlet Center Drive
Oxnard, CA 93036
Phone (805) 983-0245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 25, 2019 through Oct 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30387CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen P. Kerper D.D.S. & Brad J. Kane D.D.S. a Prof. Corp. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417072166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OUTLET CENTER DRIVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-983-0245",
            "fax_number": "805-983-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 OUTLET CENTER DRIVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-983-0245",
            "fax_number": "805-983-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERPER",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.