Mark Richard Steele, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35031 Issued in CA

Practice address

9227 Orco Pkwy
Ste G
Riverside, CA 92509-0904

Phone

(951) 360-0982

Fax

(951) 361-0901

NPI assigned

Feb 7, 2007

Last updated

Apr 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1467592790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 ORCO PKWY",
            "address_2": "STE G",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925090904",
            "telephone_number": "714-925-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9227 ORCO PKWY",
            "address_2": "STE G",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925090904",
            "telephone_number": "951-360-0982",
            "fax_number": "951-361-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B35031-01",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D35031",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Kelly Stayskal, B.A.
• Steadfast Hospice, LLC
• Adriana Peyton Steele
• Aida N Steele, D.D.S.
• Christian Dion Steele, NONE
• Renee Steger
• Nicole Steimling
• Kaitlyn Steinmann
• Stellar Behavioral Health
• Jessica Stellitano, PEER SPECIALIST

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, 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 Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.