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Deactivated NPI 1235188665 Deactivated / Inactive NPI Male Practitioner

Dr. John J Stepanovich , DDS

Dentist - General Practice • Grand Rapids, MI

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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. John Stepanovich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2006
NPI Deactivation Date October 28, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Stepanovich, DDS was a registered Dentist - General Practice practicing in Grand Rapids, MI. Throughout an active medical career spanning 14 years, Dr. Stepanovich provided care at the practice location at 260 JEFFERSON AVE SE until profile deactivation on 2020-10-28.

Practice Location & Contact Primary Location

Practice Address

260 Jefferson Ave Se

Grand Rapids, MI 495034597

Telephone 6164591267
Associated Practice Facility / Clinic
🏢 John J Stepanovich Dds Facility NPI 1629261235

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
174 Specialists

Practicing in Grand Rapids, MI (4360 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 MI 07553

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

1 Associated Practitioners
Anitha Doma , BDS

Dentist - General Practice

NPI 1851583660

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 October 28, 2020

Record deactivated on October 28, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 260 JEFFERSON AVE SE, GRAND RAPIDS, MI 495034597 (Tel: 6164591267)

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Updated Business Mailing Address July 08, 2007

Registered at 20 BAYNTON AVE NE, GRAND RAPIDS, MI 495033746 (Tel: 6164597751)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN STEPANOVICH, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #07553 in MI)

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Initial NPI Registration & Enumeration May 10, 2006

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: 1235188665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: July 08, 2007
Deactivation Date: October 28, 2020

Mailing Address

20 Baynton Ave Ne

Grand Rapids, MI 495033746

Phone: 6164597751

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.