Individual provider Active NPI

Steven Edward Handel Jr., DMD

  • Prosthodontics
  • Jbsa-Lackland, TX
National Provider Identifier
1710235031
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
6921 Issued in WI
Practice address
59 DG Af Postgraduate Dental School
2133 Pepperrell Street, Building 3352
Jbsa-Lackland, TX 78236-5313
Phone
(210) 292-6258
Fax
(210) 292-2618
NPI assigned
Aug 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35861 TX
Prosthodontics 1223P0700X 6921-15 WI
General Practice Dentistry 1223G0001X 6921-15 WI
Prosthodontics 1223P0700X 6921 WI Primary

Addresses

Primary practice location

59 DG Af Postgraduate Dental School
2133 Pepperrell Street, Building 3352
Jbsa-Lackland, TX 78236-5313

Mailing address

59 DG Af Postgraduate Dental School
2133 Pepperrell Street, Building 3352
Jbsa-Lackland, TX 78236-5313
Phone (210) 292-6258

Other practice location 1

USA Dentac Bavaria
Unit 28038
Apo, AE 09112
Phone 011496371929130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35861TXMDGeneral Practice Dentistry
6921WIMDProsthodontist
6921-15WIMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1710235031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DG AF POSTGRADUATE DENTAL SCHOOL",
            "address_2": "2133 PEPPERRELL STREET, BUILDING 3352",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "782365313",
            "telephone_number": "210-292-6258",
            "fax_number": "210-292-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DG AF POSTGRADUATE DENTAL SCHOOL",
            "address_2": "2133 PEPPERRELL STREET, BUILDING 3352",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "782365313",
            "telephone_number": "210-292-6258",
            "fax_number": "210-292-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "USA DENTAC BAVARIA",
            "address_2": "UNIT 28038",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "09112",
            "country_code": "US",
            "telephone_number": "011496371929130",
            "fax_number": "314-487-4130",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "HANDEL",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35861",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "6921-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6921-15",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "6921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa-Lackland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.