Steven M Doering, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10170 Issued in NC

Practice address

3118 N Croatan Hwy Ste 102
Kill Devil Hills, NC 27948

Phone

(252) 441-5811

Fax

(252) 441-2233

NPI assigned

Jul 6, 2014

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Opted out of Medicare

Yes, effective Sep 15, 2015 through Sep 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Steven M. Doering DMD, PLLC

  • Dental Clinic/Center
  • Kill Devil Hills, NC
  • NPI 1063917623
  NPD (past) Authorized official
• Budde & Bueker D.D.S., Partnership

  • General Practice Dentistry
  • Kill Devil Hills, NC
  • NPI 1417275439
  NPD (past)
• Kendalyn Lutz-Craver DDS PA

  • General Practice Dentistry
  • Shelby, NC
  • NPI 1881797066
  NPD (past)

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

{
    "created_epoch": "1404604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1912313487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 N CROATAN HWY STE 102",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489252",
            "telephone_number": "252-441-5811",
            "fax_number": "252-441-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N CROATAN HWY STE 102",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "27948",
            "telephone_number": "252-441-5811",
            "fax_number": "252-441-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231853329",
            "country_code": "US",
            "telephone_number": "757-220-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOERING",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-06",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912313487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dare Vision Center O.D. P.a.
• Shelley Ann Davis, NC LMBT
• Pam Derolf, R.T.
• Amanda Destefano, BT
• Carol A. Dodson, N.P.
• Eckerd Corporation (Rite Aid Pharmacy 11428)
• Clyde Gordon Eure, RPH
• Louisa Farr, OTR/L
• Marcella Ference, LCSW
• First Flight Orthopaedics & Sports Medicine PA

• General Practice Dentistry in Kill Devil Hills, NC
• Providers in Kill Devil Hills, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.