Individual provider Active NPI

Stephen G Howard, DDS

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1942315064
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1328 Issued in AK
Practice address
6328 E Brown Rd Ste 105
Mesa, AZ 85205-4841
Phone
(480) 325-7639
Fax
(480) 654-8965
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1328 AK Primary

Addresses

Primary practice location

6328 E Brown Rd Ste 105
Mesa, AZ 85205-4841

Mailing address

6328 E Brown Rd Ste 105
Mesa, AZ 85205-4841
Phone (480) 325-7639

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

LicenseStateTypeSpecialty
1328AKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Dental, LLC CurrentSince Apr 30, 2023 Accepting new patients
Freedom Dental, PLLC CurrentSince Apr 30, 2023 Accepting new patients
South Tucson Dental Partners LLC General Practice PastSince Feb 18, 2024 Accepting new patients

Locations

6328 E Brown Rd
Ste 105
Mesa, AZ 85205
Phone (480) 325-7639

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1942315064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 E BROWN RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054841",
            "telephone_number": "480-325-7639",
            "fax_number": "480-654-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 E BROWN RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054841",
            "telephone_number": "480-325-7639",
            "fax_number": "480-654-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-04-25",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.