Individual provider Active NPI

Neil Alan Stebelton, D.M.D.

  • General Practice Dentistry
  • Midland, MI
National Provider Identifier
1881185908
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1002188-15 Issued in WI
Practice address
6118 Merlin CT
Midland, MI 48640-7358
Phone
(989) 835-5665
NPI assigned
May 24, 2018
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418000734 TN Practitioner - Dentist 3072988476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1002188-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
KDP PLLC General Practice CurrentSince Jan 6, 2023 Accepting new patients
Jones and Jones, DDS, PC General Practice PastSince Sep 29, 2024 Accepting new patients
Partnership Community Health Center, Inc PastSince Aug 1, 2019 Accepting new patients
Partnership Community Health Center, Inc PastSince Apr 1, 2020 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.

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

Verify at the official NPI Registry.