Adam Stephens, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61642 Issued in CA

Practice address

1171 Murrieta Blvd
Suite 101
Livermore, CA 94550-4143

Phone

(925) 455-9510

Fax

(925) 455-9517

NPI assigned

Aug 6, 2012

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

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.

Opted out of Medicare

Yes, effective Mar 16, 2016 through Mar 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A. Stephens Dental Inc.

  • Dental Clinic/Center
  • Durham, CA
  • NPI 1023577087
  NPD Authorized official
• Adam E Stephens, DDS, Inc.

  • General Practice Dentistry
  • Paradise, CA
  • NPI 1780085811
  NPD (past) Authorized official
• Livermore Dental Care

  • Dentist
  • Livermore, CA
  • NPI 1235535519
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1760739189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 MURRIETA BLVD",
            "address_2": "SUITE 101",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504143",
            "telephone_number": "925-455-9510",
            "fax_number": "925-455-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 MURRIETA BLVD",
            "address_2": "SUITE 101",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504143",
            "telephone_number": "925-455-9510",
            "fax_number": "925-455-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ADAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanford Health Care
• Stat Med PC a California Medical Professional Corporation
• Charity Lynn Steele, M.S., BCBA
• Dina J Stepanek, PT
• Stephanie Crouch LCSW Inc
• Canary Sterling, PHD
• Steve and Harley Williams DDS PC
• Rochelle Stewart, RD
• Sharon Leah Stewart, LMFT
• Chris Stockhaus

• Dentist in Livermore, CA
• Providers in Livermore, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.