Stephen Lewis Priftakis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD5627 Issued in NM

Practice address

1007 N Pope St
Silver City, NM 88061-5161

Phone

(575) 388-1511

Fax

(575) 313-8236

NPI assigned

Jun 13, 2005

Last updated

Jul 13, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hidalgo Medical Services

  dba HMS

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1306843180
  Medicare reassignment NPD
• Hidalgo Medical Services

  dba Tu Casa

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1467971986
  NPD
• Hidalgo Medical Services

  dba HMS Lordsburg High School Health Center

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1689881245
  NPD
• Hidalgo Medical Services

  dba HMS Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1063759330
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1780688176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W INA RD STE 109",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041975",
            "telephone_number": "520-275-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N POPE ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615161",
            "telephone_number": "575-388-1511",
            "fax_number": "575-313-8236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 W Ina Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041975",
            "country_code": "US",
            "telephone_number": "520-275-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIFTAKIS",
        "first_name": "STEPHEN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5811",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chance McCall Porter
• Justin Clayton Porter, D.D.S.
• Amy Souders Potts, RN
• Tanya Powel
• Alec J'Dan Powell, RN
• Protherapy Inc
• Quantum View Therapy
• Martha Marie Quintana-Serna, PED
• Carol Ragle, DOM
• Daniella Suely Ramirez Ceniceros, CCSS/CFPSW

• General Practice Dentistry in Silver City, NM
• Providers in Silver City, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.