Individual provider Active NPI

Amanda Stepho, DDS

  • Dentist
  • Chesterfield, MI
National Provider Identifier
1497327738
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601085 Issued in MI
Practice address
30795 23 Mile Rd Ste 203
Chesterfield, MI 48047-5721
Phone
(586) 949-4630
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601085 MI Primary

Addresses

Primary practice location

30795 23 Mile Rd Ste 203
Chesterfield, MI 48047-5721

Mailing address

3924 Thatcher Dr
Rochester Hills, MI 48309-4533
Phone (810) 964-9365

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
2901601085MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Zemens DDS PC CurrentSince Jul 16, 2023 Accepting new patients

Locations

30795 23 Mile Rd
Ste 203
Chesterfield, MI 48047
Phone (586) 949-4630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1497327738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 THATCHER DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094533",
            "telephone_number": "810-964-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD STE 203",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475721",
            "telephone_number": "586-949-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHO",
        "first_name": "AMANDA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.