Mark Clay Stephens, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7307 Issued in KY

Practice address

138 N Keeneland Dr
Suite C
Richmond, KY 40475-7951

Phone

(859) 626-0069

Fax

(859) 626-0402

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in KY

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

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750501771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N KEENELAND DR",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757951",
            "telephone_number": "859-626-0069",
            "fax_number": "859-626-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N KEENELAND DR",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757951",
            "telephone_number": "859-626-0069",
            "fax_number": "859-626-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MARK",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Autumn Stamper
• Jennifer Hamm Stanley, L.P.A.
• Kara Stebbins, M.D.
• Kay C Stephens, APRN
• Kelli Ann Stephens, DSW, LCSW
• April L Stevens, PA-C
• Kimberly Stevens, MSW / LCSW
• Melody Stewart-Cyrus, M.D.
• Ashlee S Stewart, LPCC
• Derek Michael Stewart, PT

• General Practice Dentistry in Richmond, KY
• Providers in Richmond, KY by specialty
• General Practice Dentistry in Kentucky

• 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.
• 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.