Individual provider Active NPI

Derek Steele, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, NC
National Provider Identifier
1992126320
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9633 Issued in NC
Practice address
515 W 15TH St
Washington, NC 27889-3565
Phone
(252) 975-3709
NPI assigned
Jan 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 9633 NC Primary

Addresses

Primary practice location

515 W 15TH St
Washington, NC 27889-3565

Mailing address

515 W 15TH St
Washington, NC 27889-3565
Phone (252) 975-3709

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
9633NCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Derek Steele, DDS, Ms, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Jul 25, 2021 Accepting new patients
W. Lee Lewis, DDS, PLLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

515 W 15th St
Washington, NC 27889
Phone (252) 975-3709

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1992126320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893565",
            "telephone_number": "252-975-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893565",
            "telephone_number": "252-975-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "DEREK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2023-10-26",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "9633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.