Mindy J Stevens, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

08173 Issued in IA

Practice address

5708 Sunnybrook Dr
Sioux City, IA 51106-4249

Phone

(712) 274-2338

Fax

(712) 274-8056

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in IA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1639398399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064249",
            "telephone_number": "712-274-2338",
            "fax_number": "712-274-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064249",
            "telephone_number": "712-274-2338",
            "fax_number": "712-274-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MINDY",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jo Stehr, DNP, ARNP, FNP-BC
• Amber Steigerwald
• Rebecca Lynn Steineck, DO
• Shaeli Stengel
• Todd Russell Stephens, D.O.
• Sarah Jan Stevens
• Shannon Noelle Stevenson, ARNP
• Robert Mark Stewart, M.D.
• Shannon Leah Stewart, ARNP
• William Stewart, CRNA

• Dentist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.