Individual provider Active NPI

Steven Glenn Mautner, D.D.S.

  • General Practice Dentistry
  • Margate, FL
National Provider Identifier
1124076195
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12748 Issued in FL
Practice address
5609 NW 29TH St
Margate, FL 33063-1531
Phone
(954) 978-8866
Fax
(954) 978-0618
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 12748 FL Primary

Addresses

Primary practice location

5609 NW 29TH St
Margate, FL 33063-1531

Mailing address

5609 NW 29TH St
Margate, FL 33063-1531
Phone (954) 978-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121000842 FL Order and Referring Only - DentistPractitioner - Dentist 6901109156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12748FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network
  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124076195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 NW 29TH ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330631531",
            "telephone_number": "954-978-8866",
            "fax_number": "954-978-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 NW 29TH ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330631531",
            "telephone_number": "954-978-8866",
            "fax_number": "954-978-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUTNER",
        "first_name": "STEVEN",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "12748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.