Individual provider Active NPI

Steven Truman, D.D.S.

  • Dentist
  • El Cerrito, CA
National Provider Identifier
1134664824
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS101105 Issued in CA
Practice address
1718 Lexington Ave
Apt a
El Cerrito, CA 94530-1972
Phone
(435) 313-3881
NPI assigned
Jan 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS101105 CA Primary

Addresses

Primary practice location

1718 Lexington Ave
Apt a
El Cerrito, CA 94530-1972

Mailing address

1718 Lexington Ave
Apt a
El Cerrito, CA 94530-1972
Phone (435) 313-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170301000926 CA Order and Referring Only - DentistPractitioner - Dentist 4486938990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101105CAMDMarriage & Family Therapist
DDS101105CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Truman, DDS LLC Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1134664824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 LEXINGTON AVE",
            "address_2": "APT A",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301972",
            "telephone_number": "435-313-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 LEXINGTON AVE",
            "address_2": "APT A",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301972",
            "telephone_number": "435-313-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMAN",
        "first_name": "STEVEN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

Verify at the official NPI Registry.