Active NPI
Caleb William Stuebing, DMD
- Dentist
- Bethel, AK
National Provider Identifier
1962746750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1438
- Practice address
- 700 Chief Eddie Hoffman Highway.
Bethel, AK 99559 - Phone
- (907) 476-1590
- NPI assigned
- Nov 16, 2012
- Last updated
- Dec 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1438 | AK | Primary |
Addresses
Primary practice location
700 Chief Eddie Hoffman Highway.
Bethel, AK 99559
Mailing address
2356 Moore St
Eugene, OR 97404
Phone (541) 521-8434
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1438 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1962746750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2356 MOORE ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "97404",
"telephone_number": "541-521-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHIEF EDDIE HOFFMAN HIGHWAY.",
"city": "BETHEL",
"state": "AK",
"postal_code": "99559",
"telephone_number": "907-476-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUEBING",
"first_name": "CALEB",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-16",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "1438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.