Individual provider Active NPI

Harry Robert Stender, D.D.S.

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1376689430
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21342 Issued in CA
Practice address
200 S El Molino Ave Ste 1
Pasadena, CA 91101-2985
Phone
(626) 795-0221
Fax
(626) 795-3813
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 21342 CA Primary

Addresses

Primary practice location

200 S El Molino Ave Ste 1
Pasadena, CA 91101-2985

Mailing address

200 S El Molino Ave Ste 1
Pasadena, CA 91101-2985
Phone (626) 795-0221

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
I20150514001288 CA Order and Referring Only - DentistPractitioner - Dentist 2264752260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie P. Lee DDS, Inc. PastSince Oct 9, 2022 Accepting new patients
H. Robert Stender, DDS, Inc. General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376689430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S EL MOLINO AVE STE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012985",
            "telephone_number": "626-795-0221",
            "fax_number": "626-795-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S EL MOLINO AVE STE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012985",
            "telephone_number": "626-795-0221",
            "fax_number": "626-795-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENDER",
        "first_name": "HARRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.