Stevenson, Fairchild & Surber Oms, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

STEVENSON, FAIRCHILD & SURBER OMS, P.C.

Practice address

911 Wall St.
Suite C
Valparaiso, IN 46383-2553

Phone

(219) 462-9599

Fax

(219) 464-0369

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Cheryl Dorris

Title

Insurance Coordinator

Phone

(219) 462-9599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen J. Fairchild, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Merrillville, IN
  • NPI 1629164025
  Medicare reassignment NPD
• Howard Eric Stevenson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Valparaiso, IN
  • NPI 1548351661
  Medicare reassignment NPD
• Timothy William Surber, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Indianapolis, IN
  • NPI 1144668989
  Medicare reassignment NPD
• Alexandra Renee Dann, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Merrillville, IN
  • NPI 1508361700
  NPD

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1720220015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WALL ST.",
            "address_2": "SUITE C",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832553",
            "telephone_number": "219-462-9599",
            "fax_number": "219-464-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WALL ST.",
            "address_2": "SUITE C",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832553",
            "telephone_number": "219-462-9599",
            "fax_number": "219-464-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON, FAIRCHILD & SURBER OMS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "DORRIS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "219-462-9599"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine M. Stenslik, MOT, OTR
• Kimberly C Stento, MS, LAT, ATC
• Rylee Stephany
• Matthew Robert Stephenson
• Tina Stevens
• Howard Eric Stevenson, DDS
• Rebecca Ann Stevers, CPHT
• Alyssa Nicole Stewart
• Erin Stewart, LCSW
• Tracy Stillman

• Oral and Maxillofacial Surgery (Dentist) in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.