Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548760630 Individual Practitioner Male Practitioner

Stephen Depirro , LD

Denturist • Seaside, OR

Professional Overview & Biography Verified Profile Summary

Stephen Depirro, LD is a registered healthcare professional specializing in Denturist in Seaside, OR. Practice services are available at 740 AVENUE H STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

740 Avenue H Ste 2

Seaside, OR 971386603

Telephone 8339091050
Associated Practice Facility / Clinic
🏢 The Smile Store, Llc Facility NPI 1629578539

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Seaside, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Seaside, OR (139 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

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License WA DN-60139787

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Washington State Department Of Health
DN-60139787 (WA)
Commercial Insurance / Payer ID Oregon Department Of Health
DT-DO-10130609 (OR)

Secondary Practice Locations

1220 State Avenue, 1242-G

Marysville, WA 98270

Phone: 8339091050

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 740 AVENUE H STE 2, SEASIDE, OR 971386603 (Tel: 8339091050)

📍
Updated Business Mailing Address March 17, 2018

Registered at 5791 JADEITE AVE, ALTA LOMA, CA 917372264 (Tel: 2533708190)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as STEPHEN DEPIRRO, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Denturist (License #DN-60139787 in WA)

NPI Profile Active February 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2018

Registered at 740 AVENUE H STE 2, SEASIDE, OR 971386603 (Tel: 8339091050)

📍
Updated Business Mailing Address February 16, 2018

Registered at 5791 JADEITE AVE, ALTA LOMA, CA 917372264 (Tel: 2533708190)

👤
Provider Name / Credentials Updated February 16, 2018

Recorded as STEPHEN DEPIRRO, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2018

Denturist (License #DN-60139787 in WA)

🟢
Initial NPI Registration & Enumeration February 15, 2018

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: 1548760630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2018
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

5791 Jadeite Ave

Alta Loma, CA 917372264

Phone: 2533708190

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.