Clarke J Stevens, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4575 Issued in NE

Practice address

14441 Dupont CT
Suite # 301
Omaha, NE 68144-2153

Phone

(402) 334-7339

Fax

(402) 334-5620

NPI assigned

Feb 18, 2009

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1609015494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 DUPONT CT",
            "address_2": "SUITE # 301",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442153",
            "telephone_number": "402-334-7339",
            "fax_number": "402-334-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14441 DUPONT CT",
            "address_2": "SUITE # 301",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442153",
            "telephone_number": "402-334-7339",
            "fax_number": "402-334-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CLARKE",
        "middle_name": "J",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NE",
            "license": "4575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelika L Stevens, PAC
• Ashley Rae Stevens, AU.D
• Brian Edward Stevens, D.C.
• Cassidy Rae Stevens, PA-C
• Cecilia Joan Stevens, OTD
• Courtney Stevens
• Cynthia S Stevens, RN
• Grace Stevens
• Jaime L Stevens, R.D. L.M.N.T.
• Kathryn Paige Stevens, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.