Active NPI
Catherine A. Stephens, DMD
- Dentist
- Brandon, MS
National Provider Identifier
1497803902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2362-87
- Practice address
- 208 Mary Ann Dr
Brandon, MS 39042-3318 - Phone
- (601) 825-0094
- Fax
- (601) 825-6639
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- 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 | 2362-87 | MS | Primary |
Addresses
Primary practice location
208 Mary Ann Dr
Brandon, MS 39042-3318
Mailing address
208 Mary Ann Dr
Brandon, MS 39042-3318
Phone (601) 825-0094
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 |
|---|---|---|---|
| 2362-87 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497803902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 MARY ANN DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390423318",
"telephone_number": "601-825-0094",
"fax_number": "601-825-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 MARY ANN DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390423318",
"telephone_number": "601-825-0094",
"fax_number": "601-825-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "CATHERINE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "2362-87",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
- Spencer Therapy Group, LLC
- Josa Rae Spencer, NP
- Julia Spikes
- Sporty Sprouts Inc (Sporty Sprouts: Youth Wellness Center)
- St Dominic Medical Associates LLC (St Dominic Family Practice Brandon)
- Alta May Stevens, CNA/HHA
- Howard Mark Stevens, DDS
- Nadrean Steward
- Michael James Still, PHARMD
- Ailean Chase Stingley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.