Stephen P Morimoto, DDS, LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

STEPHEN P MORIMOTO, DDS, LTD

Practice address

219 N Hammes Ave
Joliet, IL 60435-8114

Phone

(815) 741-0095

Fax

(815) 741-0328

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen P Morimoto, DDS

Title

President

Phone

(815) 741-0095

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1437355013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358114",
            "telephone_number": "815-741-0095",
            "fax_number": "815-741-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358114",
            "telephone_number": "815-741-0095",
            "fax_number": "815-741-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P MORIMOTO, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "MORIMOTO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-741-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80006668",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Stefaniak-Clark, MD
• Diana Marie Stefanik, APN
• Paul Michael Steffensen, PHARM.D.
• Douglas E. Steger, CRNA
• Judith Ann Stengele, LCPC
• Stepping Stones, Inc
• Stepping Stones, Inc
• Stepping Stones, Inc.
• Stepping Stones, Inc.
• Stepping Stones, Inc.

• Oral and Maxillofacial Surgery (Dentist) in Joliet, IL
• Providers in Joliet, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.