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Deactivated NPI 1093127813 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Stevinson , DDS

Dentist - General Practice • Madera, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Stevinson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 28, 2014
NPI Deactivation Date August 13, 2018
Total Practice Duration ~4 Years of Practice (2014 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Stevinson, DDS was a registered Dentist - General Practice practicing in Madera, CA. Throughout an active medical career spanning 4 years, Dr. Stevinson provided care at the practice location at 816 EMILY WAY until profile deactivation on 2018-08-13.

Practice Location & Contact Primary Location

Practice Address

816 Emily Way

Madera, CA 936375646

Telephone 5596616080
Fax 5596616082
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madera, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
35 Specialists

Practicing in Madera, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 33853

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1255004735
Dr. David Stevinson , DDS

Dentist - General Practice

NPI 1972915239

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 13, 2018

Record deactivated on August 13, 2018

NPI Profile Active May 28, 2014

NPI status registered as active in NPPES database

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Updated Practice Location May 28, 2014

Registered at 816 EMILY WAY, MADERA, CA 936375646 (Tel: 5596616080)

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Updated Business Mailing Address May 28, 2014

Registered at 816 EMILY WAY, MADERA, CA 936375646 (Tel: 5596616080)

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Provider Name / Credentials Updated May 28, 2014

Recorded as MICHAEL STEVINSON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2014

Dentist (License #33853 in CA)

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Initial NPI Registration & Enumeration May 28, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093127813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2014
Last Update: May 28, 2014
Deactivation Date: August 13, 2018

Mailing Address

816 Emily Way

Madera, CA 936375646

Phone: 5596616080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.