Stephen Miguel Pou, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12569 Issued in CT

Practice address

2150 Black Rock Tpke Ste 201
Fairfield, CT 06825

Phone

(203) 333-2060

Fax

(203) 333-0027

NPI assigned

Apr 22, 2019

Last updated

Jul 9, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  NPD (past)
• Novo Women's Health, P.C.

  • Obstetrics & Gynecology Physician
  • Fairfield, CT
  • NPI 1407511728
  NPD (past)

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1760045066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 BLACK ROCK TPKE STE 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253239",
            "telephone_number": "203-333-2060",
            "fax_number": "203-333-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 BLACK ROCK TPKE STE 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06825",
            "telephone_number": "203-333-2060",
            "fax_number": "203-333-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-562-4891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-562-4891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-562-4891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Watchung Crest Dr",
            "address_purpose": "LOCATION",
            "city": "Watchung",
            "state": "NJ",
            "postal_code": "070695439",
            "country_code": "US",
            "telephone_number": "908-322-7771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-562-4891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POU",
        "first_name": "STEPHEN",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "12569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazaro N Pomeraniec, MD
• Kathryn Porri
• Deborah Lynne Portnay, LCSW
• Joseph Louis Poswinski, LCSW
• David J Potucek, MSPT, CFMT
• Dana J Power-Lewis, APRN, MSN, FNP-BC
• Clare Powers, LPC
• Jennifer Powers, DPT
• Preneta Physical Therapy, PC
• Richard Joseph Preneta Jr., PT

• Dentist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.