Individual provider Active NPI

Steven M Shevinsky, D.D.S.

  • General Practice Dentistry
  • Ramona, CA
National Provider Identifier
1245574235
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31135 Issued in CA
Practice address
1530 Main St
Suite 17
Ramona, CA 92065-5244
Phone
(760) 789-8060
Fax
(760) 789-8061
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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 31135 CA Primary

Addresses

Primary practice location

1530 Main St
Suite 17
Ramona, CA 92065-5244

Mailing address

1530 Main St
Suite 17
Ramona, CA 92065-5244
Phone (760) 789-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1245574235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MAIN ST",
            "address_2": "SUITE 17",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655244",
            "telephone_number": "760-789-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MAIN ST",
            "address_2": "SUITE 17",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655244",
            "telephone_number": "760-789-8060",
            "fax_number": "760-789-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVINSKY",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.