Michael J. Stepovich, DDS, Ms, Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

35786 Issued in CA

Legal business name

MICHAEL J. STEPOVICH, DDS, MS, INC.

Doing business as

Stepovich Orthodontics

Practice address

1757 Blossom Hill Rd
Suite 30
San Jose, CA 95124-6212

Phone

(408) 358-2400

Fax

(408) 358-3250

NPI assigned

Mar 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael J. Stepovich, DDS, MS

Title

Owner

Phone

(408) 358-2400

Specialties & licenses 1

Addresses

Other names 1

• Stepovich Orthodontics Doing business as

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299369600000",
    "number": "1508164120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 BLOSSOM HILL RD",
            "address_2": "SUITE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246212",
            "telephone_number": "408-358-2400",
            "fax_number": "408-358-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 BLOSSOM HILL RD",
            "address_2": "SUITE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246212",
            "telephone_number": "408-358-2400",
            "fax_number": "408-358-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. STEPOVICH, DDS, MS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-06",
        "last_updated": "2011-03-06",
        "status": "A",
        "authorized_official_last_name": "STEPOVICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-358-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "35786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stepovich Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; 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.