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Dr. Cameron Blake Stevens , DDS

Dentist - General Practice β€’ Montgomery, IL

Active NPI 1528769882 Individual Practitioner Male Practitioner
Practice location in NPPES

20 Boulder Hill Pass
Montgomery, IL 605381951

Call 6308965013 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

20 Boulder Hill Pass

Montgomery, IL 605381951

Telephone 6308965013
Organization at the Same NPPES Address or Phone
Mark R Commean Dmd Ltd Facility NPI 1417046905

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $40.90 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Montgomery and Illinois

3 active clinicians are listed under Dentist - General Practice with a practice address in Montgomery, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $40.90.

Manufacturer Payment Nature Product Type Amount ($)
Dentsply Sirona Inc
Food and Beverage
In-kind items and services
WaveOne Gold Conform Fit General $40.90

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019.035417

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Amrit Banipal

Dentist - General Practice

NPI 1366051237
NPI 1891872958

Doctor of Dental Medicine

NPI 1508484619

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location March 29, 2025

Registered at 20 BOULDER HILL PASS, MONTGOMERY, IL 605381951 (Tel: 6308965013)

πŸ“
Updated Business Mailing Address March 29, 2025

Registered at 20 BOULDER HILL PASS, MONTGOMERY, IL 605381951 (Tel: 6308965013)

πŸ“
Updated Practice Location July 30, 2024

Registered at 4015 PLAINFIELD NAPERVILLE RD STE 106, NAPERVILLE, IL 605644239 (Tel: 6303003610)

πŸ‘€
Provider Name / Credentials Updated July 30, 2024

Recorded as CAMERON STEVENS, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2024

Dentist (license number reported to NPPES: IL 019.035417)

βœ…
NPI Profile Active March 14, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 14, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288100)

πŸ“
Business Mailing Address (Initial Record) March 14, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013

πŸ‘€
Provider Name / Credentials (Initial Record) March 14, 2023

Recorded as CAMERON STEVENS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 14, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528769882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2023
Last Update: March 29, 2025
Sole Proprietor: No

Mailing Address

20 Boulder Hill Pass

Montgomery, IL 605381951

Phone: 6308965013

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.