Stephan Showstark, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN6996 Issued in FL

Practice address

4401 NW 25TH PL Ste G
Gainesville, FL 32606-6569

Phone

(352) 376-8229

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 6, 2015 through Jul 6, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affordable Dentures - Gainesville, P.a.

  • Dentist
  • Gainesville, FL
  • NPI 1114065059
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639266562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 NW 25TH PL STE G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066569",
            "telephone_number": "352-376-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 NW 25TH PL STE G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066569",
            "telephone_number": "352-376-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWSTARK",
        "first_name": "STEPHAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN6996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J Shoudy, MSN, ARNP
• Musab K M Shouman, MD
• Tala Shourbagi Tello
• Madison Showalter, RBT
• Erika Kutana Showers, ARNP
• Kim Thuy Thi Shrestha, PA-C
• Sunaina Shrestha
• Virginia Sue Shreve, APRN
• Michele Shriner, PH.D.
• Richard L. Shriner, MD

• Dentist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.