Steven Delisle Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

56563 Issued in CA

Legal business name

STEVEN DELISLE DENTAL CORPORATION

Practice address

462 N Linden Dr
341
Beverly Hills, CA 90212-2247

Phone

(425) 306-2579

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Steven Del Isle, DOS

Title

Owner

Phone

(425) 306-2579

Specialties & licenses 1

Addresses

Tax ID family

Steven Delisle Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Steven Delisle Dental Corporation

  • Dentist
  • San Diego, CA
  • NPI 1609247360
  NPD tax ID

Locations

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1184079931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DR",
            "address_2": "341",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DR",
            "address_2": "341",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122247",
            "telephone_number": "425-306-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN DELISLE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "DEL ISLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-306-2579",
        "authorized_official_credential": "DOS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph David Stern, MFT
• Lily Kagan Stern, MD
• Steven B Richlin, OD, Inc
• Steven B. Rubins, M.D., a Professional Corporation
• Steven C. Presser MD
• Steven J Waltrip MD Inc
• Steven J. Jacobs, MD, Inc
• Steven Leibowitz MD Inc
• Steven M. Simons, M.D., Inc.
• Steven N Witlin MD Inc

• Dentist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.