NPIMap

Organization Active NPI

Stephen Dent M.D. Inc.

Doing business as San Diego Ear, Nose Throat Specilaists

  • Otolaryngology Physician
  • Carlsbad, CA
National Provider Identifier
1093941601
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
STEPHEN DENT M.D. INC.
Doing business as
San Diego Ear, Nose Throat Specilaists
Practice address
2020 Cassia Rd Ste 101
Carlsbad, CA 92009-4211
Phone
(760) 479-2100
Fax
(619) 858-0928
NPI assigned
Jun 10, 2009
Last updated
Feb 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Dawn McCloskey, COPM
Title
Practice Manager
Phone
(760) 479-2100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2020 Cassia Rd Ste 101
Carlsbad, CA 92009-4211

Mailing address

2027 Newcastle Ave
1197 PO Box
Cardiff by the Sea, CA 92007-1751
Phone (760) 479-2100

Other names 1

  • San Diego Ear, Nose Throat Specilaists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090922000744 CA Part B Supplier - Clinic/Group Practice 4082760616 Receives reassigned benefits from 5 practitioners
Practice locations: Carlsbad, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2210361San Diego Ear, Nose & Throat Specialists2020 Cassia Rd Ste 101, Carlsbad, CA 92009Certificate of waiverJan 20, 2027

National Provider Directory

National Provider Directory

Locations

2027 Newcastle Ave
#1197
Cardiff by the Sea, CA 92007

2020 Cassia Rd
Ste 101
Carlsbad, CA 92009
Phone (760) 438-8353

Practitioners & affiliated clinicians

Practitioners 10

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": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1093941601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 NEWCASTLE AVE",
            "address_2": "1197 PO BOX",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071751",
            "telephone_number": "760-479-2100",
            "fax_number": "760-479-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CASSIA RD STE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094211",
            "telephone_number": "760-479-2100",
            "fax_number": "619-858-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN DENT M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "MCCLOSKEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "760-479-2100",
        "authorized_official_credential": "COPM"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Ear, Nose Throat Specilaists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.