Richard M. Stevens, D.M.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D008320 Issued in AZ

Practice address

5422 W Thunderbird Rd
Suite 20
Glendale, AZ 85306-4717

Phone

(602) 439-1400

Fax

(602) 439-1600

NPI assigned

Jun 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1891998795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 HAYRIDE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494760",
            "telephone_number": "702-326-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD",
            "address_2": "SUITE 20",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064717",
            "telephone_number": "602-439-1400",
            "fax_number": "602-439-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-42",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D008320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stetson Village Dental LLC
• Steven C. Chang DDS PC
• Steven Q. Hansen D.D.S.P.C.
• Annette Stevens
• Kaleigh Adele Stevens, MSOT/R
• Ryan A. Stevens, M.D.
• Sara Elizabeth Stevens, RN BSN
• Jasmine Stevenson
• Justin Stevenson
• Mekeia H Stevenson, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.