Organization Active NPI

Steven P. Theodosis Dental Corporation

  • Dentist
  • Vista, CA
National Provider Identifier
1083327845
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STEVEN P. THEODOSIS DENTAL CORPORATION
Practice address
319 Civic Center Dr
Vista, CA 92084-6143
Phone
(760) 630-5000
NPI assigned
Dec 26, 2022
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven Paul Theodosis, DMD
Title
Authorized Official
Phone
(847) 778-1423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

319 Civic Center Dr
Vista, CA 92084-6143

Mailing address

23911 Danzig Bay
Dana Point, CA 92629-4407
Phone (949) 545-8847

National Provider Directory

National Provider Directory
Tax ID family
Steven P Theodosis Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

319 Civic Center Dr
Vista, CA 92084
Phone (760) 630-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1083327845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23911 DANZIG BAY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294407",
            "telephone_number": "949-545-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 CIVIC CENTER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846143",
            "telephone_number": "760-630-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P. THEODOSIS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "THEODOSIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-778-1423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.