Active NPI
Neil Alan Stebelton, D.M.D.
- General Practice Dentistry
- Midland, MI
National Provider Identifier
1881185908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1002188-15
- Practice address
- 6118 Merlin CT
Midland, MI 48640-7358 - Phone
- (989) 835-5665
- NPI assigned
- May 24, 2018
- Last updated
- Sep 23, 2024
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1002188-15 | WI | Primary |
Addresses
Primary practice location
6118 Merlin CT
Midland, MI 48640-7358
Mailing address
6118 Merlin CT
Midland, MI 48640-7358
Other practice location 1
1509 Washington St Ste D
Midland, MI 48640-5612
Phone (989) 837-9740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002188-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KDP PLLC | General Practice | Current | Accepting new patients |
| Jones and Jones, DDS, PC | General Practice | Past | Accepting new patients |
| Partnership Community Health Center, Inc | Past | Accepting new patients | |
| Partnership Community Health Center, Inc | Past | Accepting new patients | |
| Midland Center for Accessible Health Care | Past | Accepting new patients |
Locations
1212 N Kentucky St
Kingston, TN 37763
Phone (865) 717-3586
Organizations & group practices 5
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.
-
- General Practice Dentistry
- Kingston, TN
- NPI 1699331421
-
- General Practice Dentistry
- Midland, MI
- NPI 1588060727
-
dba Helping Hands Dental Center
- Dentist
- Midland, MI
- NPI 1992880165
-
- Federally Qualified Health Center (FQHC)
- Waupaca, WI
- NPI 1689294159
-
- Federally Qualified Health Center (FQHC)
- Oshkosh, WI
- NPI 1770103236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1881185908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6118 MERLIN CT",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486407358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6118 MERLIN CT",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486407358",
"telephone_number": "989-835-5665"
}
],
"practiceLocations": [
{
"address_1": "1509 Washington St Ste D",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "MI",
"postal_code": "486405612",
"country_code": "US",
"telephone_number": "989-837-9740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEBELTON",
"first_name": "NEIL",
"middle_name": "ALAN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1002188-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.