NPIMap

Organization Active NPI

Stephen S. Valis, DDS, LLC

  • General Practice Dentistry
  • Rock Hill, SC
National Provider Identifier
1760633259
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3308 Issued in SC
Legal business name
STEPHEN S. VALIS, DDS, LLC
Practice address
1144 India Hook Rd
Suite B
Rock Hill, SC 29732-2783
Phone
(803) 328-3891
Fax
(803) 328-2159
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Stephen Sean Valis, DDSNPI 1952403511
Title
Owner
Phone
(803) 328-3886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3308 SC Primary

Addresses

Primary practice location

1144 India Hook Rd
Suite B
Rock Hill, SC 29732-2783

Mailing address

1144 India Hook Rd
Suite B
Rock Hill, SC 29732-2783
Phone (803) 328-3891

Other identifiers 1

IdentifierTypeStateIssuer
ZX3308MedicaidSC

National Provider Directory

National Provider Directory

Locations

1144 India Hook Rd
Ste B
Rock Hill, SC 29732
Phone (803) 328-3891

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1760633259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 INDIA HOOK RD",
            "address_2": "SUITE B",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322783",
            "telephone_number": "803-328-3891",
            "fax_number": "803-328-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 INDIA HOOK RD",
            "address_2": "SUITE B",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322783",
            "telephone_number": "803-328-3891",
            "fax_number": "803-328-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN S. VALIS, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "VALIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-328-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3308",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.