Active NPI
Adam C Stephens, DDS
- Dentist
- Lenoir, NC
National Provider Identifier
1477399525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13800
- Practice address
- 107 Norwood St SW
Lenoir, NC 28645-5254 - Phone
- (828) 754-7881
- Fax
- (828) 754-5391
- NPI assigned
- Jul 8, 2024
- Last updated
- Jul 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13800 | NC | Primary |
Addresses
Primary practice location
107 Norwood St SW
Lenoir, NC 28645-5254
Mailing address
107 Norwood St SW
Lenoir, NC 28645-5254
Phone (828) 754-7881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13800 | Other | NC | NC DENTAL LICENSE |
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 |
|---|---|---|---|
| 13800 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1477399525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NORWOOD ST SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455254",
"telephone_number": "828-754-7881",
"fax_number": "828-754-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 NORWOOD ST SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455254",
"telephone_number": "828-754-7881",
"fax_number": "828-754-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "ADAM",
"middle_name": "C",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC DENTAL LICENSE",
"identifier": "13800",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.