Eric Daniel Stevens, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 20657 Issued in FL

Practice address

2700 Pga Blvd Ste 202
Palm Beach Gardens, FL 33410-2958

Phone

(561) 622-6100

Fax

(561) 622-6107

NPI assigned

Jun 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 14, 2020 through Jul 14, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Stevens Dental PLLC

  • Dental Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1730748765
  NPD (past) Authorized official
• Dr Keith a Dewindt PA

  • General Practice Dentistry
  • Palm Beach Gardens, FL
  • NPI 1700977162
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1649683335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10484 STRINGFELLOW RD STE 3",
            "city": "ST JAMES CITY",
            "state": "FL",
            "postal_code": "339563209",
            "telephone_number": "239-283-1041",
            "fax_number": "239-283-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PGA BLVD STE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102958",
            "telephone_number": "561-622-6100",
            "fax_number": "561-622-6107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 8th St",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341347419",
            "country_code": "US",
            "telephone_number": "239-947-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10484 Stringfellow Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "St James City",
            "state": "FL",
            "postal_code": "33956",
            "country_code": "US",
            "telephone_number": "239-283-1041",
            "fax_number": "239-283-1684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ERIC",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20657",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20657",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "DN20657",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven L Warshall M D P a
• Steven Svabek, DO
• Steven Weiss DDS Dental Associates PLLC
• Stevens Dental PLLC
• Allison L Stevens
• Grace M Stevens
• Trevyah J Stevens
• Shirley Stickle, MD
• Ashley Stiehler
• Brian David Stirling, PT, DPT

• General Practice Dentistry in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.