Steven P. Theodosis Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STEVEN P. THEODOSIS DENTAL CORPORATION

Practice address

27131 Calle Arroyo Ste 203
San Juan Capistrano, CA 92675-2700

Phone

(775) 762-9455

NPI assigned

Jul 29, 2022

Organization subpart

Yes

Parent organization

ALEC J TEMLOCK DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Patricia Smith, RDH

Title

Director

Phone

(775) 762-9455

Specialties & licenses 2

Addresses

Tax ID family

Steven P Theodosis Dental Corporation2 organizations share this tax ID, including this one

Part of

Steven P Theodosis Dental Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Steven P. Theodosis Dental Corporation

  • Dentist
  • Vista, CA
  • NPI 1083327845
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Alec J Temlock Dental Corporation

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1346960218
  NPPES parent name

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1144956293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27131 CALLE ARROYO STE 203",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752700",
            "telephone_number": "775-762-9455",
            "fax_number": "858-724-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27131 CALLE ARROYO STE 203",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752700",
            "telephone_number": "775-762-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P. THEODOSIS DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEC J TEMLOCK DENTAL CORPORATION",
        "enumeration_date": "2022-07-29",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-762-9455",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Sue Statzula, RN
• Theresa Ann Steiner, MFTI
• Derrick Stephan, PA-C
• Stephen J. Groth,MD,Inc
• Ruta Sternbergs
• Jean Marie Stewart, MA PSYCHOLOGY C-4647
• Jillian Stewart, DPT
• Melody Stone, LMFT
• Ruth Elaine Strickland, RN
• David Briant Stringham, CATC-I

• General Practice Dentistry in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.