Individual provider Active NPI

Christopher Alan Steddum, D.M.D

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1891143954
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10359 Issued in NC
Practice address
8450 Louisburg Rd. Ste 130
Raleigh, NC 27616
Phone
(919) 266-5332
Fax
(919) 266-5389
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 10359 NC Primary

Addresses

Primary practice location

8450 Louisburg Rd. Ste 130
Raleigh, NC 27616

Mailing address

8450 Louisburg Rd. Ste 130
Raleigh, NC 27616
Phone (919) 266-5332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10359NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
L.Brett Wells DDS III PLLC General Practice CurrentSince Apr 11, 2021 Accepting new patients
Steddum & Steddum, DMD, PLLC General Practice Current Accepting new patients
L. Brett Wells DDS PA PastSince Apr 11, 2021 Accepting new patients
L. Brett Wells PLLC General Practice PastSince Aug 1, 2021 Accepting new patients

Locations

8450 Louisburg Rd
#130
Raleigh, NC 27616
Phone (919) 266-5332

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1891143954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 LOUISBURG RD. STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27616",
            "telephone_number": "919-266-5332",
            "fax_number": "919-266-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 LOUISBURG RD. STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27616",
            "telephone_number": "919-266-5332",
            "fax_number": "919-266-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEDDUM",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.