Individual provider Active NPI

Stephen Barrett Sexton, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Memphis, TN
National Provider Identifier
1740395250
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS7358 Issued in TN
Practice address
1661 Aaron Brenner Dr Ste 105
Memphis, TN 38120-1467
Phone
(901) 756-8475
Fax
(901) 756-7820
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS7358 TN Primary

Addresses

Primary practice location

1661 Aaron Brenner Dr Ste 105
Memphis, TN 38120-1467

Mailing address

1661 Aaron Brenner Dr Ste 105
Memphis, TN 38120-1467
Phone (901) 756-8475

Other identifiers 3

IdentifierTypeStateIssuer
4077889OtherTNBLUE CROSS BLUE SHIELD #
11306496OtherTNCIGNA #
7144410OtherTNAETNA #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160916002106 TN Order and Referring Only - Other (Non-Physician) 4486941507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS7358TNMDOral and Maxillofacial Surgery (Dentist)
7358TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sexton Oral and Maxillofacial Surgery Oral and Maxillofacial Surgery Past Accepting new patients
Sexton-Oms, LLC Oral and Maxillofacial Surgery PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1740395250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 AARON BRENNER DR STE 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201467",
            "telephone_number": "901-756-8475",
            "fax_number": "901-756-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 AARON BRENNER DR STE 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201467",
            "telephone_number": "901-756-8475",
            "fax_number": "901-756-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "STEPHEN",
        "middle_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS7358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "4077889",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA #",
            "identifier": "11306496",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA #",
            "identifier": "7144410",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.