Michael G. Stevens DDS, PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

1715 Issued in MT

Legal business name

MICHAEL G. STEVENS DDS, PC

Practice address

2225 Broadwater Ave Ste 1
Billings, MT 59102-4707

Phone

(406) 656-8300

NPI assigned

Sep 27, 2016

Last updated

Sep 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cathy Ann McKinley

Title

Office Manager

Phone

(406) 656-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1902355357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 BROADWATER AVE STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024707",
            "telephone_number": "406-656-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 BROADWATER AVE STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024707",
            "telephone_number": "406-656-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. STEVENS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-656-8300"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MT",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113356",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Billings, MT
• Providers in Billings, MT by specialty
• Endodontics in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.