Stevenson Pediatric Dentistry P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5863508-9923 Issued in UT

Legal business name

STEVENSON PEDIATRIC DENTISTRY P.C.

Practice address

4019 W. 12600 S.
Suite 200
Riverton, UT 84096

Phone

(801) 302-7938

Fax

(801) 302-9409

NPI assigned

Nov 21, 2006

Last updated

Nov 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Daniel Stevenson, D.D.S.NPI 1942376231

Title

Owner, President

Phone

(801) 302-7938

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Daniel Stevenson, D.D.S.

  • Pediatric Dentistry
  • Riverton, UT
  • NPI 1942376231
  Authorized official Same address or phone

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1578638854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 W 12600 S",
            "address_2": "SUITE 200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84096",
            "telephone_number": "801-302-7938",
            "fax_number": "801-302-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 W. 12600 S.",
            "address_2": "SUITE 200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84096",
            "telephone_number": "801-302-7938",
            "fax_number": "801-302-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON PEDIATRIC DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "801-302-7938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "5863508-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Eryn Steineckert
• Step Mountain Medical
• Andie Marie Stevens
• Jessica Celeste Stevens, MSN, APRN, FNP-C
• Monica Stevens
• Nathan Daniel Stevenson, D.D.S.
• Pieter Arnoldus Steyn, RPH
• Stokes Chiropractic LLC
• Harold Stokes, DC
• Katie Margaret Stokes, APRN

• Pediatric Dentistry in Riverton, UT
• Providers in Riverton, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.