Individual provider Active NPI

Howard Eric Stevenson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Valparaiso, IN
National Provider Identifier
1548351661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12008865A Issued in IN
Practice address
911 Wall St
Suite C
Valparaiso, IN 46383-2553
Phone
(219) 462-9599
Fax
(219) 464-0369
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12008865A IN Primary

Addresses

Primary practice location

911 Wall St
Suite C
Valparaiso, IN 46383-2553

Mailing address

911 Wall St
Suite C
Valparaiso, IN 46383-2553
Phone (219) 462-9599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20090615000459 IN Practitioner - Oral Surgery 8820148307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Oms, LLCGroup PAC ID 7315316015, 4 clinicians

Practice addresses (Care Compare)

61 W 86TH Ave
Merrillville, IN 46410-7098
Phone (219) 736-1401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12008865AINMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Oms, LLC Oral and Maxillofacial Surgery CurrentSince Sep 21, 2022 Accepting new patients
Stevenson, Fairchild & Surber Oms, P.C. Oral and Maxillofacial Surgery CurrentSince Apr 26, 2009 Accepting new patients

Locations

61 W 86th Ave
Merrillville, IN 46410
Phone (219) 736-1401

8807 W 400 N
Michigan City, IN 46360
Phone (219) 736-1401

911 Wall St
Ste C
Valparaiso, IN 46383
Phone (219) 462-9599

Interoperability endpoints

  • Direct secure messaging: hstevenson83103@direct.franciscanalliance.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548351661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WALL ST",
            "address_2": "SUITE C",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832553",
            "telephone_number": "219-462-9599",
            "fax_number": "219-464-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WALL ST",
            "address_2": "SUITE C",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832553",
            "telephone_number": "219-462-9599",
            "fax_number": "219-464-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "HOWARD",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12008865A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.