Stephen M Carron DDS LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

013945 Issued in MO

Legal business name

STEPHEN M CARRON DDS LLC

Practice address

12 S Jackson St Ste 3
Perryville, MO 63775-2535

Phone

(573) 547-5570

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Stephen M Carron, DDSNPI 1730231374

Title

Owner

Phone

(573) 547-5570

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Stephen Mark Carron, DDS

  • General Practice Dentistry
  • Perryville, MO
  • NPI 1730231374
  NPD (past) Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1871802447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S JACKSON ST STE 3",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752535",
            "telephone_number": "573-547-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S JACKSON ST STE 3",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752535",
            "telephone_number": "573-547-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M CARRON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "CARRON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-547-5570",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MO",
            "license": "013945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401884408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Andrew Silvers, D.O.
• Southeast Missouri Hospital Physicians, LLC (Southeast Primary Care)
• St. Luke's Chiropractic Health Center LLC
• Whitney Staincliffe
• Alanna M Steinbecker, MOT, OTR/L, CAPS
• Jessica Tanz, MOTR/L
• Matthew Girard Tarrillion I, LMT
• Terrace Gardens Retirement Center (Terrace Gardens ISL)
• Terrace Gardens Retirement Center Inc.
• The Estates of Perryville, LLC

• Case Management Agency in Perryville, MO
• Providers in Perryville, MO by specialty
• Case Management Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.