Stephen Fabry, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30018089 Issued in OH

Practice address

465 E Bath Rd
Cuyahoga Falls, OH 44223-2511

Phone

(330) 929-5496

Fax

(330) 929-6292

NPI assigned

Sep 10, 2007

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 Jan 5, 2016 through Jan 5, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Stephen T. Fabry D.D.S. Inc.

  • General Practice Dentistry
  • Cuyahoga Falls, OH
  • NPI 1407992647
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1821283243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 E BATH RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232511",
            "telephone_number": "330-929-5496",
            "fax_number": "330-929-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 E BATH RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232511",
            "telephone_number": "330-929-5496",
            "fax_number": "330-929-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRY",
        "first_name": "STEPHEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30018089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.