DR. KEVIN C. STEPHENS (NPI# 1588702666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588702666 |
| Entity Type | Individual |
| Full Name | DR. KEVIN C. STEPHENS |
| Credential | DMD |
| Practice Address |
4420 Dixie Hwy Ste 110 Louisville KY 40216 |
| Mailing Address |
901 N Yarnallton Pike Lexington KY 40511-9092 |
| Practice Telephone | 5024473323 |
| Practice Fax Number | 9137529116 |
| Mailing Telephone | 8593811348 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
4233 | WV | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
30023899 | OH | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6780 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810026312 | 05 | |
| OH | 0088555 | 05 | |
| KY | 60067808 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 42 Mcginnis Dr, Wayne, WV 255709553 | 3042725136 | 3042723807 |
| 496 Southland Dr, Lexington, KY 405031827 | 8592882425 | 8597213918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811236136 | Kevin Ulysse Stephens Sr. | Obstetrics & Gynecology | 1 Rosedown Ct, New Orleans, LA 70131-3313 | 2013-02-06 |
| 1639651367 | Kevin Stephens | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-08-29 |
| 1770977662 | Kevin Stephens Jr. | Family Medicine | 1715 E 95th St, Chicago, IL 60617-4708 | 2015-03-27 |
| 1740510197 | Kevin Stephens | Emergency Medical Technician, Paramedic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2010-01-07 |
| 1841324878 | Kevin Stephens | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2007-03-14 |
| 1255414314 | Kevin Austin Stephens | Family Medicine | 4100 Duval Road, Bldg 2 Ste 202, Austin, TX 78759 | 2006-10-23 |
| 1821046244 | Kevin Wayne Stephens | Family Medicine | 53 Schoodic Dr, Belfast, ME 04915-7246 | 2006-05-05 |
| Street Address |
4420 DIXIE HWY STE 110 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093822934 | Eric M Sauk | Dentist | 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986 | 2006-08-24 |
| 1952826976 | Muhammad Umair Seyal | Dentist | 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986 | 2017-08-10 |
| 1215391255 | Dimitrios Basilakos | Dentist | 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986 | 2016-04-06 |
| 1902273139 | Alexander Sukhorukov | Dentist | 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986 | 2015-08-24 |
| 1811226715 | Neville Kallarackel Jacob | Dentist | 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986 | 2009-12-24 |
| 1801050612 | Janeice Aisha Wooten-kerr | Dentist | 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986 | 2008-07-11 |
| 1649392820 | Leslie Michelle James | Dentist | 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781485 | Rylie Mike-mayer | Dentist | 302 Axis Dr Apt 401, Louisville, KY 40206-0139 | 2019-07-09 |
| 1922580653 | Advanced Dental Center, Inc. | Dentist | 1901 Rudy Ln Ste 4, Louisville, KY 40207-1384 | 2018-08-29 |
| 1043701451 | Diana H Tran | Dentist | 501 S Preston St Rm 148, Louisville, KY 40202-1701 | 2018-05-21 |
| 1992295653 | Tyler Benton Blount | Dentist | 8013 New La Grange Rd Ste 6, Louisville, KY 40222-4700 | 2018-05-17 |
| 1407346901 | Louisville Dental Associates LLC | Dentist | 16701 E Main St, Louisville, MS 39339-2751 | 2018-05-10 |
| 1194238816 | Dental Services of Kentucky, Psc | Dentist | 2011 Grinstead Dr Unit 102, Louisville, KY 40204-1296 | 2017-11-16 |
| 1366963373 | Caleb William Reece | Dentist | 2201 Biljana Dr Apt 1, Louisville, KY 40206-2175 | 2017-06-29 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1740733559 | Jonathan Mitchell, Dmd, Psc | Dentist | 1716 Gardiner Ln, Louisville, KY 40205-2738 | 2016-07-27 |
| 1215389168 | Charles Kendrick Bunch | Dentist | 1030 Mulberry St, Louisville, KY 40217-1253 | 2016-07-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40216 |
Please comment or provide details below to improve the information on DR. KEVIN C. STEPHENS.
| 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.