Active NPI
Steven Haddad, DDS
- Dentist
- Hesperia, CA
National Provider Identifier
1548817455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS103980
- Practice address
- 12821 Main St Ste 150
Hesperia, CA 92345-9130 - Phone
- (760) 947-9853
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS103980 | CA | Primary |
Addresses
Primary practice location
12821 Main St Ste 150
Hesperia, CA 92345-9130
Mailing address
24476 University Ave
Loma Linda, CA 92354-2600
Phone (909) 638-6287
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103980 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Corporation of Louis Stromberg DDS | Past | Accepting new patients |
Interoperability endpoints
- shaddad1262746@direct.llu.edu
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Hesperia, CA
- NPI 1225282494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1548817455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24476 UNIVERSITY AVE",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542600",
"telephone_number": "909-638-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12821 MAIN ST STE 150",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923459130",
"telephone_number": "760-947-9853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS103980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.