Active NPI
David R Stebbins, DMD
- Dentist
- Norwalk, CT
National Provider Identifier
1831258243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 006874
- Practice address
- 148 East Ave Ste 3J
Norwalk, CT 06851-5721 - Phone
- (203) 866-0415
- Fax
- (203) 354-9561
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 006874 | CT | Primary |
Addresses
Primary practice location
148 East Ave Ste 3J
Norwalk, CT 06851-5721
Mailing address
148 East Ave Ste 3J
Norwalk, CT 06851-5721
Phone (203) 866-0415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366209 | Other | UNITED CONCORDIA | |
| 5127 | Other | DELTA DENTAL OF NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006874 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1831258243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 EAST AVE STE 3J",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515721",
"telephone_number": "203-866-0415",
"fax_number": "203-354-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 EAST AVE STE 3J",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515721",
"telephone_number": "203-866-0415",
"fax_number": "203-354-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEBBINS",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "006874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1366209",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF NJ",
"identifier": "5127",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.