Individual provider Active NPI

Stephen Shae Cherrington, DDS

  • Prosthodontics
  • Fort Carson, CO
National Provider Identifier
1619955929
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
5933858-9921 Issued in UT
Practice address
1650 Cochrane Cir # B7500
Ft Carson, CO 80913-4613
Phone
(706) 836-8440
NPI assigned
Jan 6, 2006
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5933858 UT
Prosthodontics 1223P0700X 5933858-9926 UT
Prosthodontics 1223P0700X 9453 TN
Prosthodontics 1223P0700X 5933858-9921 UT Primary

Addresses

Primary practice location

1650 Cochrane Cir # B7500
Ft Carson, CO 80913-4613

Mailing address

1650 Cochrane Cir # B7500
Ft Carson, CO 80913-4613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9453TNMDSocial Worker
5933858UTMDDentist
5933858-9921UTMDProsthodontist
5933858-9926UTMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1619955929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "706-836-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRINGTON",
        "first_name": "STEPHEN",
        "middle_name": "SHAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5933858",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "UT",
            "license": "5933858-9926",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TN",
            "license": "9453",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "UT",
            "license": "5933858-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.