Individual provider Active NPI

Stephen Harkins, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
National Provider Identifier
1477599827
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D2775 Issued in AZ
Practice address
4781 E Camp Lowell Drive
Ste 101
Tucson, AZ 85712-1256
Phone
(520) 298-6909
Fax
(520) 298-7376
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D2775 AZ Primary

Addresses

Primary practice location

4781 E Camp Lowell Drive
Ste 101
Tucson, AZ 85712-1256

Mailing address

4781 E Camp Lowell Drive
Ste 101
Tucson, AZ 85712-1215
Phone (520) 298-6909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000814 AZ Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2769388693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Stephen J Harkins DDS PCGroup PAC ID 3971409004, 3 clinicians

Practice addresses (Care Compare)

4781 E Camp Lowell Dr
Suite 101
Tucson, AZ 85712-1256
Phone (520) 298-6909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D2775AZMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Harkins DDS PC Oral and Maxillofacial Surgery CurrentSince May 1, 2003 Accepting new patients
Heh Research & Development Inc PastSince Oct 7, 2011 Accepting new patients

Locations

4781 E Camp Lowell Dr
Ste 101
Tucson, AZ 85712
Phone (520) 298-6909

4781 E Camp Lowell Dr
Tucson, AZ 85712

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1477599827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 E CAMP LOWELL DRIVE",
            "address_2": "STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121215",
            "telephone_number": "520-298-6909",
            "fax_number": "520-298-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 E CAMP LOWELL DRIVE",
            "address_2": "STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-298-6909",
            "fax_number": "520-298-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "STEPHEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D2775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.