Edward J Stepka Jr DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

RI1628 Issued in RI

Legal business name

EDWARD J STEPKA JR DMD INC

Practice address

501 Great Road
Suite 207
No Smithfield, RI 02896

Phone

(401) 766-9857

Fax

(401) 762-0871

NPI assigned

Nov 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward J Stepka Jr., DMD

Title

Dentist Owner

Phone

(401) 766-9857

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Paul Stepka, DMD

  • General Practice Dentistry
  • North Smithfield, RI
  • NPI 1881799070
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730259540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT ROAD",
            "address_2": "SUITE 207",
            "city": "NO SMITHFIELD",
            "state": "RI",
            "postal_code": "02896",
            "telephone_number": "401-766-9857",
            "fax_number": "401-762-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT ROAD",
            "address_2": "SUITE 207",
            "city": "NO SMITHFIELD",
            "state": "RI",
            "postal_code": "02896",
            "telephone_number": "401-766-9857",
            "fax_number": "401-762-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J STEPKA JR DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPKA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "401-766-9857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "RI1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.