Organization Active NPI

Daron Stevens Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nampa, ID
National Provider Identifier
1992976765
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D3738-OR Issued in ID
Legal business name
DARON STEVENS ORTHODONTICS
Practice address
119 S Valley Dr
Suite E
Nampa, ID 83686-2974
Phone
(208) 468-9191
Fax
(208) 466-7479
NPI assigned
Mar 19, 2008
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Dr. Daron R. Stevens, DDSNPI 1114933553
Title
Orthodontist
Phone
(208) 468-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D3738-OR ID Primary

Addresses

Primary practice location

119 S Valley Dr
Suite E
Nampa, ID 83686-2974

Mailing address

119 S Valley Dr
Suite E
Nampa, ID 83686-2974
Phone (208) 468-9191

Other identifiers 2

IdentifierTypeStateIssuer
1114933553OtherIDIDAHO SMILES-DR STEVENS
1174723472OtherIDIDAHO SMILES-DR FRANCIS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1992976765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S VALLEY DR",
            "address_2": "SUITE E",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862974",
            "telephone_number": "208-468-9191",
            "fax_number": "208-466-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S VALLEY DR",
            "address_2": "SUITE E",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862974",
            "telephone_number": "208-468-9191",
            "fax_number": "208-466-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARON STEVENS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "DARON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "208-468-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D3738-OR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO SMILES-DR STEVENS",
            "identifier": "1114933553",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO SMILES-DR FRANCIS",
            "identifier": "1174723472",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.