Douglas Kinder Stephens, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5690 Issued in KY

Practice address

6405 Glenway Ave
Cincinnati, OH 45211-5221

Phone

(513) 729-7994

Fax

(913) 752-9116

NPI assigned

Jan 11, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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.

• Dental Services of Oh, James G Turk,& Denean R Carr,DDS, Inc.

  dba Immediadent

  • Dentist
  • Cincinnati, OH
  • NPI 1669849477
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952451171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 CANON RIDGE",
            "city": "FT. THOMAS",
            "state": "KY",
            "postal_code": "410752059",
            "telephone_number": "859-781-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452115221",
            "telephone_number": "513-729-7994",
            "fax_number": "913-752-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7607 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410422689",
            "country_code": "US",
            "telephone_number": "859-655-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "DOUGLAS",
        "middle_name": "KINDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60056900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Stephens
• Bryan P Stephens, PA
• Chelsea Stephens, MSW LSW
• Christopher Stephens, CDCA
• Cody Benjamin Stephens, MD
• Dynasty Diamond Stephens
• Emily Stephens
• Erin Mollie Stephens, APRN- (PNP-AC)
• Fannye Mae Stephens, HOME HEALTH AIDE
• Gregory W Stephens, M.D.

• Dentist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.