Steve Childress II, DDS

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STEVE CHILDRESS II, DDS

Practice address

402 Carriage Dr
Beckley, WV 25801-2806

Phone

(304) 255-0439

NPI assigned

Dec 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Steven Wayne Childress II, DDS

Title

Owner/Dentist

Phone

(304) 255-0439

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve Childress II, DDS

  • General Practice Dentistry
  • Beckley, WV
  • NPI 1548209869
  NPD (past)
• Austin Tyler Willis, DDS

  • General Practice Dentistry
  • Beckley, WV
  • NPI 1588145429
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1922578764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012806",
            "telephone_number": "304-255-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012806",
            "telephone_number": "304-255-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE CHILDRESS II, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "304-255-0439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548209869",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN & PROVIDER ENUMERATION SERVICE",
            "identifier": "1588145429",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Darrell Steele, LPN
• Betty Jean Stegel
• Stephanie Nichols DMD LLC
• Stephen H. Blaydes
• Stephen W Finch DDS PC
• Kelli Lynn Stevens
• Meredith Stevens, RPH
• Charles Stevenson, HCP
• Mickey Stevenson, HCP
• Ashley Renee Stewart

• Dentist in Beckley, WV
• Providers in Beckley, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.