Individual provider Active NPI

Martin Richard Steigner, D.D.S.

  • Pediatric Dentistry
  • Petaluma, CA
National Provider Identifier
1093859969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
23672 Issued in CA
Practice address
3835 Cypress Dr
Suite 210
Petaluma, CA 94954-6965
Phone
(707) 763-1548
Fax
(707) 763-6942
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 23672 CA Primary

Addresses

Primary practice location

3835 Cypress Dr
Suite 210
Petaluma, CA 94954-6965

Mailing address

3835 Cypress Dr
Suite 210
Petaluma, CA 94954-6965
Phone (707) 763-1548

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093859969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 CYPRESS DR",
            "address_2": "SUITE 210",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546965",
            "telephone_number": "707-763-1548",
            "fax_number": "707-763-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 CYPRESS DR",
            "address_2": "SUITE 210",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546965",
            "telephone_number": "707-763-1548",
            "fax_number": "707-763-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIGNER",
        "first_name": "MARTIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "23672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.