Chad E Stephenson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHAD E STEPHENSON DDS PC

Practice address

461 NE Greenwood Ave
Suite C
Bend, OR 97701-4607

Phone

(541) 318-1564

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Chad Stephenson, DDSNPI 1568432409

Title

President

Phone

(541) 318-1564

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Chad Stephenson, DDS

  • General Practice Dentistry
  • Bend, OR
  • NPI 1568432409
  NPD Authorized official

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1780993089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 NE GREENWOOD AVE",
            "address_2": "SUITE C",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014607",
            "telephone_number": "541-318-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 NE GREENWOOD AVE",
            "address_2": "SUITE C",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014607",
            "telephone_number": "541-318-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD E STEPHENSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-318-1564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.