Stephens Dentistry, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019740 Issued in IL

Legal business name

STEPHENS DENTISTRY, INC.

Practice address

1560 Sherman Ave
Suite # 807
Evanston, IL 60201-4818

Phone

(847) 864-8151

Fax

(847) 864-5145

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Brian Stephens, DDS

Title

Owner / Dentist

Phone

(847) 864-8151

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Robert Bruce Stephens, DDS

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1033103585
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1881861565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE",
            "address_2": "SUITE # 807",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014818",
            "telephone_number": "847-864-8151",
            "fax_number": "847-864-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE",
            "address_2": "SUITE # 807",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014818",
            "telephone_number": "847-864-8151",
            "fax_number": "847-864-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "847-864-8151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019740",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Jean Stelnicki, L.C.S.W.
• Melinda Stengel
• Steph Meyers Counseling LTD
• Monica Stephans, DC
• Stephen a. Lipschultz MD
• Ariana Stephens
• James Brian Stephens, DDS
• Robert Bruce Stephens, DDS
• Christine Francis Stephenson, M.A., PSY.D.
• Gabrielle Celia Stern

• General Practice Dentistry in Evanston, IL
• Providers in Evanston, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.