John Edward Stephenson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2039 Issued in NV

Practice address

5642 S Eastern Ave
#F
Las Vegas, NV 89119-2310

Phone

(702) 739-9999

Fax

(702) 739-0081

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1699942086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 S EASTERN AVE",
            "address_2": "#F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192310",
            "telephone_number": "702-739-9999",
            "fax_number": "702-739-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 S EASTERN AVE",
            "address_2": "#F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192310",
            "telephone_number": "702-739-9999",
            "fax_number": "702-739-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2039",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "1223G0001X-2039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cydne Miner Stephenson
• Ellyauna Jennah Stephenson
• Hayden Stephenson
• Jennifer L Stephenson, PH.D., LMFT
• Johanna Stephenson
• Sarah Elizabeth Stephenson
• Stefanae Stephenson, RBT
• Tikisha Stephenson
• Toney Wendell Stephenson
• Trnee Daphene Stephenson

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.