Individual provider Active NPI

Steve Marteney, D.D.S.

  • General Practice Dentistry
  • Covina, CA
National Provider Identifier
1093854440
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32358 Issued in CA
Practice address
626 S 2ND Ave
Suite a
Covina, CA 91723-3517
Phone
(626) 331-0779
Fax
(626) 967-1153
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32358 CA Primary

Addresses

Primary practice location

626 S 2ND Ave
Suite a
Covina, CA 91723-3517

Mailing address

319 San Dimas Ave #D
San Dimas, CA 91773
Phone (626) 331-0779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32358CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
San Dimas Family and Sedation Dentistry General Practice CurrentSince Feb 7, 2021 Accepting new patients
San Dimas Family and Sedation Dentistry CurrentSince Sep 23, 2024 Accepting new patients

Locations

319 N San Dimas Ave
Ste D
San Dimas, CA 91773
Phone (818) 330-3088

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1093854440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SAN DIMAS AVE #D",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "626-331-0779",
            "fax_number": "626-967-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S 2ND AVE",
            "address_2": "SUITE A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233517",
            "telephone_number": "626-331-0779",
            "fax_number": "626-967-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENEY",
        "first_name": "STEVE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.