Active NPI
Stephany Papademetriou Stevenson, DMD
- Dentist
- Anchorage, AK
National Provider Identifier
1902588288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 211830
- Practice address
- 6611 Debarr Rd Ste 200
Anchorage, AK 99504-1796 - Phone
- (844) 972-4390
- Fax
- (907) 337-6086
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 211830 | AK | Primary |
Addresses
Primary practice location
6611 Debarr Rd Ste 200
Anchorage, AK 99504-1796
Mailing address
17713 N Juanita Loop
Eagle River, AK 99577-7582
Phone (602) 292-9015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211830 | AK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1902588288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17713 N JUANITA LOOP",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777582",
"telephone_number": "602-292-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 DEBARR RD STE 200",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995041796",
"telephone_number": "844-972-4390",
"fax_number": "907-337-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "STEPHANY",
"middle_name": "PAPADEMETRIOU",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "211830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.