Active NPI
Stephen E. Nechvatal, DMD PC
- Oral and Maxillofacial Surgery (Dentist)
- Lapeer, MI
National Provider Identifier
1629132352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- SNO11747
- Practice address
- 1176 1/2 S Lapeer Rd Ste B
Lapeer, MI 48446-3385 - Phone
- (810) 667-6855
- Fax
- (810) 667-6875
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | SNO11747 | MI | Primary |
Addresses
Primary practice location
1176 1/2 S Lapeer Rd Ste B
Lapeer, MI 48446-3385
Mailing address
1176 1/2 S Lapeer Rd Ste B
Lapeer, MI 48446-3385
Phone (810) 667-6855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SNO11747 | Other | MI | ORAL AND MAXILLOFACIAL SU |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SNO11747 | MI | MD | Oral and Maxillofacial Surgery (Dentist) |
Interoperability endpoints
- snechvatal1142780@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1629132352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 1/2 S LAPEER RD STE B",
"city": "LAPEER",
"state": "MI",
"postal_code": "484463385",
"telephone_number": "810-667-6855",
"fax_number": "810-667-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 1/2 S LAPEER RD STE B",
"city": "LAPEER",
"state": "MI",
"postal_code": "484463385",
"telephone_number": "810-667-6855",
"fax_number": "810-667-6875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NECHVATAL",
"first_name": "STEPHEN",
"middle_name": "E.",
"credential": "DMD PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "SNO11747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORAL AND MAXILLOFACIAL SU",
"identifier": "SNO11747",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.