DR. STEVE CHILDRESS II (NPI# 1548209869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548209869 |
| Entity Type | Individual |
| Full Name | DR. STEVE CHILDRESS II |
| Credential | DDS |
| Practice Address |
402 Carriage Dr Beckley WV 25801-2806 |
| Practice Telephone | 3042550439 |
| Mailing Telephone | 3042550439 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
WV3449 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 4001074-000 | 05 |
| Street Address |
402 CARRIAGE DR |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922578764 | Steve Childress II, Dds | Dentist | 402 Carriage Dr, Beckley, WV 25801-2806 | 2018-12-04 |
| 1588145429 | Austin Tyler Willis | Dentist | 402 Carriage Dr, Beckley, WV 25801-2806 | 2018-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| 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 |
|---|---|---|---|---|
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1629583190 | Stephanie Nichols Dmd LLC | Dentist | 4259 Robert C Byrd Dr, Beckley, WV 25801-2223 | 2017-12-06 |
| 1992098651 | Derek Ross | Dentist | 316 Prudential Dr, Beckley, WV 25801-8870 | 2011-05-27 |
| 1598950024 | William Lance Dillon | Dentist | 3151 Robert C. Byrd Dr., Beckley, WV 25801 | 2007-09-07 |
| 1225233216 | Charles William Cappellari | Dentist | 729 South Kanawha St, Beckley, WV 25801-0729 | 2007-06-19 |
| 1356497424 | Anthony Joseph Williams | Dentist | 200 Stanaford Road, Beckley, WV 25801 | 2007-01-25 |
| 1639236029 | Jill E. Shumate | Dentist | 403 Third Ave., Beckley, WV 25801 | 2007-01-03 |
| 1033271572 | Stephen Wallace Finch | Dentist | 1100 Neville St, Beckley, WV 25801-4228 | 2006-12-14 |
| 1518027135 | Gregory Todd Harvey | Dentist | 114 Beckley Plaza Mall, Beckley, WV 25801 | 2006-12-12 |
| 1912019571 | Grant Sherwood Mason | Dentist | 220 Professional Park, Beckley, WV 25801-3624 | 2006-08-31 |
| Find all providers in BECKLEY | ||||
Please comment or provide details below to improve the information on DR. STEVE CHILDRESS II.
| 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.