Stephen Vital DMD Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

3270 Issued in AZ

Legal business name

STEPHEN VITAL DMD INC

Practice address

3505 E Brown Rd
Suite 102
Mesa, AZ 85213-5508

Phone

(480) 924-6169

Fax

(480) 924-1077

NPI assigned

May 21, 2008

Last updated

May 21, 2008By 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. Stephen J Vital, DMDNPI 1083673362

Title

President

Phone

(480) 924-6169

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Stephen Joseph Vital, D.M.D.

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1083673362
  NPD (past) Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1619134079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 E BROWN RD",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135508",
            "telephone_number": "480-924-6169",
            "fax_number": "480-924-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 E BROWN RD",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135508",
            "telephone_number": "480-924-6169",
            "fax_number": "480-924-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN VITAL DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "VITAL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-924-6169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "3270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA",
            "identifier": "3270",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Jay Stenquist, M.D.
• Stephen a. Bair, DO PC (Family Physicians of East Valley)
• Stephen C Driggs, DDS and Rick Turley, DDS, PLC
• Stephen E. Hatfield, DO LLC (East Mesa Orthopedics & Sports Medicine)
• Stephen L. Walker DDS PLLC
• Brady Stephens, PHARMD
• Marandah Taron Stephens, RN
• Sara Elizabeth Stephens, FNP-C
• Bonni J. Stephenson, M.C., L.P.C.
• Victor B Stephney

• Preferred Provider Organization in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.