Organization Active NPI

Stephanie Stephens MD PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Dallas, TX
National Provider Identifier
1699038562
Registry record updated Jun 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
L8203 Issued in TX
Legal business name
STEPHANIE STEPHENS MD PA
Practice address
1015 N Carroll Ave
Suite 2000
Dallas, TX 75204-6613
Phone
(214) 824-7744
Fax
(214) 824-7755
NPI assigned
Jun 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2012

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

Authorized official

Name
Stephanie Stephens, MD
Title
Owner
Phone
(214) 824-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X L8203 TX Primary

Addresses

Primary practice location

1015 N Carroll Ave
Suite 2000
Dallas, TX 75204-6613

Mailing address

1015 N Carroll Ave
Suite 2000
Dallas, TX 75204-6613
Phone (214) 824-7744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339804800000",
    "number": "1699038562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N CARROLL AVE",
            "address_2": "SUITE 2000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046613",
            "telephone_number": "214-824-7744",
            "fax_number": "214-824-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N CARROLL AVE",
            "address_2": "SUITE 2000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046613",
            "telephone_number": "214-824-7744",
            "fax_number": "214-824-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE STEPHENS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-824-7744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "L8203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; 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.