Individual provider Active NPI

Robert Eugene Stevens Jr., DDS

  • General Practice Dentistry
  • Crosby, TX
National Provider Identifier
1942418595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21372 Issued in TX
Practice address
5909 FM 2100
Crosby, TX 77532
Phone
(281) 328-4846
Fax
(281) 328-5606
NPI assigned
May 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 21372 TX Primary

Addresses

Primary practice location

5909 FM 2100
Crosby, TX 77532

Mailing address

P.O.Box 488
Crosby, TX 77532
Phone (281) 328-4846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 8, 2022 through Sep 8, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21372TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Stevens, DDS General Practice Past Accepting new patients
R Stevens Group Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942418595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 488",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "77532",
            "telephone_number": "281-328-4846",
            "fax_number": "281-328-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 FM 2100",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "77532",
            "telephone_number": "281-328-4846",
            "fax_number": "281-328-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, TX

Sources for this page

Verify at the official NPI Registry.