Austin Robert Stebbins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600126 Issued in MI

Practice address

4505 Cascade Rd SE # a
Grand Rapids, MI 49546-8381

Phone

(616) 228-1210

NPI assigned

Jun 12, 2019

Last updated

Jun 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• State Street Smiles PLLC

  • Dental Clinic/Center
  • Zeeland, MI
  • NPI 1659123040
  NPD Authorized official
• Smile Cascade, P.C.

  • Dental Clinic/Center
  • Grand Rapids, MI
  • NPI 1679062772
  NPD (past)
• Smile Dental Partners PLLC

  • Public Health Dentistry
  • Grand Haven, MI
  • NPI 1942837810
  NPD (past)
• Smile South Holland

  • General Practice Dentistry
  • Holland, MI
  • NPI 1851940068
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1568021517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 LOWINGSIDE DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288781",
            "telephone_number": "616-322-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 CASCADE RD SE # A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468381",
            "telephone_number": "616-228-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "AUSTIN",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marek A Stawiski, MD
• Marisha Irene Stawiski, D.P.M
• Steady Mind PLLC
• Desiree Diane Stearns
• Thuy-Tien Ngoc Stearns, PA-C
• Katie Marie Stebbins, LLP
• Gary D. Stebelton, M.D.
• Marissa Stebelton
• Andrew Stec
• Amanda Stedman

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.