DR. JOHN CRAIG STEPHENSON (NPI# 1639263833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639263833 |
| Entity Type | Individual |
| Full Name | DR. JOHN CRAIG STEPHENSON |
| Credential | DMD |
| Practice Address |
2901 Broadway North Bend OR 97459 |
| Practice Telephone | 5417563181 |
| Practice Fax Number | 5417565838 |
| Mailing Telephone | 5417563181 |
| Mailing Fax Number | 5417565838 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4985 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE OF OREGON | 229145 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598775736 | John Mckethan Stephenson | Dentist | 402 Dicey Ford Rd, Ste E, Camden, SC 29020 | 2006-08-09 |
| 1699942086 | John Edward Stephenson | Dentist | 5642 S Eastern Ave, #f, Las Vegas, NV 89119-2310 | 2008-05-14 |
| 1528269560 | John Michael Stephenson | Orthopaedic Surgery | 4301 W Markham St, Slot #531, Little Rock, AR 72205-7101 | 2007-05-29 |
| 1336361138 | John Lynn Stephenson II | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2007-05-02 |
| 1952446841 | John Glynn Stephenson | Dentist | 405 North Main Street, Burkesville, KY 42717 | 2007-02-20 |
| 1366509929 | John T Stephenson | Clinical Neuropsychologist | 24520 Hawthorne Blvd, Suite 220, Torrance, CA 90505-6800 | 2007-01-02 |
| 1528126158 | John D Stephenson | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2006-12-05 |
| 1700980216 | John Robert Stephenson | Nurse Anesthetist, Certified Registered | 1 Saint Mary Pl, Pfs-prof Billing, Shreveport, LA 71101-4343 | 2006-09-13 |
| 1629087341 | John H Stephenson | Anesthesiology | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1701 | 2006-08-05 |
| 1396752085 | John George Stephenson | Dentist | 7501 Little River Tpke, Suite 201, Annandale, VA 22003-2923 | 2006-08-02 |
| Street Address |
2901 BROADWAY |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| 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 |
|---|---|---|---|---|
| 1639428634 | Craig Elgin | Dentist | 2901 Broadway Ave, North Bend, OR 97459-2219 | 2012-09-05 |
| 1861586083 | Kirby Nelson Orthodontics | Dentist | 244 Bendigo Blvd N, North Bend, WA 98045 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636329 | Daniel Hoopes | Dentist | 979 Young St Ste C, Woodburn, OR 97071-4954 | 2020-07-14 |
| 1487205233 | J.r. Gregg LLC | Dentist | 1201 Se 223rd Ave Ste 220, Gresham, OR 97030-2578 | 2019-09-24 |
| 1447721295 | Alix Jisun Leemin | Dentist | 2350 Sw Multnomah Blvd Ste C, Portland, OR 97219-3999 | 2018-12-05 |
| 1003381914 | Keyan Botsford | Dentist | 1625 E Mcandrews Rd Ste B, Medford, OR 97504-5334 | 2018-10-06 |
| 1316435241 | Daniel J Floyd Dmd Ms LLC | Dentist | 863 W. Main St., Suite 200, Molalla, OR 97038 | 2018-04-26 |
| 1891208724 | Jd Miller Dds PC | Dentist | 2250 Nw Flanders St Ste 112, Portland, OR 97210-5409 | 2017-11-14 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1992181838 | Shannon Woods | Dentist | 2500 Ne Twin Knolls Dr Ste 250, Bend, OR 97701-4786 | 2015-08-03 |
| 1790169217 | Ortho Country Orthodontics LLC | Dentist | 1300 Ne Alpha Dr, Mcminnville, OR 97128-9711 | 2015-07-14 |
| 1033516232 | Dennis Wade Trammell | Dentist | 2215 Willamette St. Suite B, Eugene, OR 97405-2847 | 2014-12-03 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
Please comment or provide details below to improve the information on DR. JOHN CRAIG STEPHENSON.
| 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.