Kasan Stevens, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5372 Issued in LA

Practice address

11918 Sunray Ave
Baton Rouge, LA 70816-5316

Phone

(225) 291-2111

Fax

(225) 291-2191

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Kasan Stevens-Hansberry Other name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kasan Stevens-Hansberry DDS LLC

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1174969273
  NPD Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508884396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11918 SUNRAY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165316",
            "telephone_number": "225-291-2111",
            "fax_number": "225-291-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11918 SUNRAY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165316",
            "telephone_number": "225-291-2111",
            "fax_number": "225-291-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KASAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853721",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASAN",
            "last_name": "STEVENS-HANSBERRY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven D Collins, DDS
• Steven J Zuckerman MD Inc
• Amy Felps Stevens
• Claudia Stevens, C.R.N.A.
• Karen Stevens, LPC
• Patricia Stevens, B.A., M.S.
• Jamie Stevenson
• Jarod Stevenson
• Joseph Stevenson
• Katie Brianna Stevenson

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.