Richard Allan Stevenson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN7159 Issued in FL

Practice address

6851 Belfort Oaks PL
Jacksonville, FL 32216-6242

Phone

(904) 281-2566

Fax

(904) 296-7210

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jacksonville Dental Excellence

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1538817960
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992878995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 BELFORT OAKS PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166242",
            "telephone_number": "904-281-2566",
            "fax_number": "904-296-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 BELFORT OAKS PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166242",
            "telephone_number": "904-281-2566",
            "fax_number": "904-296-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy H Stevens, PA-C
• Julie Ann Stevenson Kelly, MSW
• Heather Stevenson
• Matthew S Stevenson, MD
• Neil K. Stevenson, DMD
• Jonas Ashton Steward
• Adrian Yvonne Stewart
• Angela Erica Stewart, BCBA
• Chelsea Alyssa Stewart, LMHC
• Christopher Wayne Stewart, LPN

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.