Glenn Oren Stephens, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4469 Issued in AL

Practice address

2030 Patton Chapel Road
Hoover, AL 35216

Phone

(205) 979-9491

Fax

(205) 979-5439

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Marilia P. Tate, DMD,PC

  • Dentist
  • Birmingham, AL
  • NPI 1114315785
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1720171424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 POLO DOWNS",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263371",
            "telephone_number": "205-612-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 PATTON CHAPEL ROAD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-979-9491",
            "fax_number": "205-979-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "GLENN",
        "middle_name": "OREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBS OF ALABAMA",
            "identifier": "79578",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "741927",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steel City Speech LLC
• Ashlie Stegemann, ALC
• Stellar Massage LLC
• David Howard Stem III, DPT
• Lesley Rae Stephan, PHARM.D.
• Mary Alycia Stephens, LICSW
• Samantha Brooke Sterling, BCBA
• Piper Lyric Stevens
• Stewart Counseling, LLC
• Emily Rae Stewart, PA

• General Practice Dentistry in Hoover, AL
• Providers in Hoover, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.