DR. MICHAEL L STEPOVICH (NPI# 1023329091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023329091 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL L STEPOVICH |
| Credential | DDS, MS |
| Practice Address |
4110 Moorpark Ave Ste G San Jose CA 95117-1712 |
| Practice Telephone | 4082444240 |
| Practice Fax Number | 4082444245 |
| Mailing Telephone | 4082444240 |
| Mailing Fax Number | 4082444245 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16059 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972801587 | Michael J. Stepovich | Dentist | 1757 Blossom Hill Rd, Suite 30, San Jose, CA 95124-6212 | 2011-03-06 |
| Street Address |
4110 MOORPARK AVE STE G |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95117-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978385 | Rebecca Giordano St George | Marriage & Family Therapist | 390 Spar Avenue Suite 106, San Jose, CA 95117 | 2019-08-22 |
| 1760035067 | Na Bao Inc | Acupuncturist | 631 Rebecca Way, Apt D, San Jose, CA 95117 | 2019-07-17 |
| 1801364823 | Acupuncture & Healing Inc | Acupuncturist | 4155 Moorpark Ave Ste #13, San Jose, CA 95117 | 2018-11-07 |
| 1689199770 | Youngsu Lyu | Chiropractor | 4010 Moorpark Ave Ste 109, San Jose, CA 95117 | 2017-08-09 |
| 1790139137 | January Villarreal | Speech-Language Pathologist | 4010 Moorpark Ave. #117, San Jose, CA 95117 | 2016-04-22 |
| 1780069187 | Il Hwan Park Chiropractic Clinic | Chiropractor | 4155 Moorpark Avenue, Suite 1, San Jose, CA 95117 | 2015-07-27 |
| 1285077073 | John Lockhart Mcelroy | Family Medicine | 3578 Moultrie Ave., San Diego, CA 95117 | 2013-04-10 |
| 1801134036 | Min Jung Kang | Acupuncturist | 4155 Moorpark Ave Ste 20, San Jose, CA 95117 | 2013-01-23 |
| 1356574420 | Scott Svendsen | Chiropractor | 3531 Stevens Creek Blvd., San Jose, CA 95117 | 2009-08-24 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in zip 95117 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281141 | Guneet Kaur-kohli Kainth | Dentist | 1087 Quail Creek Cir, San Jose, CA 95120-4166 | 2020-06-30 |
| 1992264295 | Karina Carrou Lee | Dentist | 1095 E Brokaw Rd Ste 40, San Jose, CA 95131-2321 | 2019-03-16 |
| 1447733407 | Jonathan Michael Drew | Dentist | 3240 Finch Dr, San Jose, CA 95117-3512 | 2018-09-14 |
| 1942662457 | Phan, Rawlins & Lyons Dds Inc | Dentist | 6942 Almaden Expy # 11, San Jose, CA 95120-3201 | 2016-03-23 |
| 1902248966 | Jason Chun-sheng Hsieh | Dentist | 1040 Avondale St, San Jose, CA 95129-2801 | 2013-07-19 |
| 1699034017 | Eric Phelps, Dds, Ms and Jason Cohen, Dds, N | Dentist | 2075 Forest Ave., Ste. 2, San Jose, CA 95128-4812 | 2012-05-04 |
| 1093091472 | Baokhanh Nguyen | Dentist | 827 Blossom Hill Rd Ste W4, San Jose, CA 95123-2701 | 2011-10-28 |
| 1598996035 | Linda Huynh | Dentist | 5595 Winfield Blvd Ste 206, San Jose, CA 95123-1220 | 2009-07-31 |
| 1619122751 | Chandra Thanh-chuong Pham | Dentist | 3270 Landess Ave, San Jose, CA 95132-1230 | 2008-11-17 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.