Perry A. Stevenson, DDS, MS, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D6379 Issued in OR

Practice address

1201 SE 223Rd Ave
Suite 220
Gresham, OR 97030-2574

Phone

(503) 661-8719

Fax

(503) 666-7068

NPI assigned

Sep 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740384460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE",
            "address_2": "SUITE 220",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302574",
            "telephone_number": "503-661-8719",
            "fax_number": "503-666-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE",
            "address_2": "SUITE 220",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302574",
            "telephone_number": "503-661-8719",
            "fax_number": "503-666-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "PERRY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D6379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen K. Choong, MD PC
• Jami L Stephens, MA, CT, LPC
• Steven G. Lumsden, DC P.C.
• Elizabeth L Stevens
• Brian Everett Stevenson
• Erica M Stewart, QMHA
• Kylea Stiles
• Vickie Lee Stoddard, LMT
• Jessica Stone
• Sara Jenien Stone, L.M.T.

• Orthodontics and Dentofacial Orthopedics Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.