Individual provider Active NPI

Stephen Siew, DDS, MD

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1710548870
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35202 Issued in TX
Practice address
9415 N Beach St
Fort Worth, TX 76244-9059
Phone
(817) 741-2200
NPI assigned
Jun 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35202 TX Primary

Addresses

Primary practice location

9415 N Beach St
Fort Worth, TX 76244-9059

Mailing address

9415 N Beach St
Fort Worth, TX 76244-9059

Other practice location 1

544 Fm 156 S Ste 200
Haslet, TX 76052-3665
Phone (817) 741-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706000331 TX Order and Referring Only - General SurgeryPractitioner - General Surgery 6901286178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Oral & Maxillofacial Surgery, P.a. CurrentSince Aug 3, 2025 Accepting new patients

Locations

9415 N Beach St
Fort Worth, TX 76244
Phone (817) 741-2200

544 FM 156 S
Ste 200
Haslet, TX 76052
Phone (817) 741-2200

Interoperability endpoints

  • Direct secure messaging: ssiew73575@direct.phhs.org
  • Direct secure messaging: ssiew826623@direct.sw.org
  • Direct secure messaging: ssiew32256@texasamuniversity.gardenplot.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1710548870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449059",
            "telephone_number": "817-741-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 Fm 156 S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Haslet",
            "state": "TX",
            "postal_code": "760523665",
            "country_code": "US",
            "telephone_number": "817-741-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEW",
        "first_name": "STEPHEN",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.