Individual provider Active NPI

Bruce Curtis Stein, D.D.S

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1497064927
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9655 Issued in AZ
Practice address
421 W Hatcher Rd
Phoenix, AZ 85021-2455
Phone
(602) 906-9868
Fax
(602) 906-9864
NPI assigned
Oct 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9655 AZ Primary
Dentist 122300000X FL10170 FL

Addresses

Primary practice location

421 W Hatcher Rd
Phoenix, AZ 85021-2455

Mailing address

421 W Hatcher Rd
Phoenix, AZ 85021-2455
Phone (602) 906-9868

Other practice location 1

9179 W Thunderbird Rd Ste B107
Peoria, AZ 85381-4875
Phone (623) 933-6010

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

LicenseStateTypeSpecialty
FL10170FLMDDentist
9655AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Care Dental Dentist Past Accepting new patients
Westwinddental Downtown Past Accepting new patients
Manpreet S Badyal Dentist PastSince Jun 7, 2020 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1497064927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W HATCHER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212455",
            "telephone_number": "602-906-9868",
            "fax_number": "602-906-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W HATCHER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212455",
            "telephone_number": "602-906-9868",
            "fax_number": "602-906-9864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9179 W Thunderbird Rd Ste B107",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814875",
            "country_code": "US",
            "telephone_number": "623-933-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "BRUCE",
        "middle_name": "CURTIS",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9655",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "FL10170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.