Individual provider Active NPI

Tarranay Steyn, DDS

  • Dentist
  • Lake Worth, FL
National Provider Identifier
1134474745
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19862 Issued in FL
Practice address
5516 S State Road 7 Ste 132
Lake Worth, FL 33449-5442
Phone
(561) 963-7950
Fax
(561) 963-7946
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19862 FL Primary

Addresses

Primary practice location

5516 S State Road 7 Ste 132
Lake Worth, FL 33449-5442

Mailing address

5516 S State Road 7 Ste 132
Lake Worth, FL 33449-5442
Phone (561) 963-7950

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
I20150629002734 FL Order and Referring Only - DentistPractitioner - Dentist 6002128311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1134474745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 S STATE ROAD 7 STE 132",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495442",
            "telephone_number": "561-963-7950",
            "fax_number": "561-963-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 S STATE ROAD 7 STE 132",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495442",
            "telephone_number": "561-963-7950",
            "fax_number": "561-963-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEYN",
        "first_name": "TARRANAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.