Active NPI
Steven C Marshall, D.D.S.
- General Practice Dentistry
- Sunnyvale, CA
National Provider Identifier
1568498624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26771
- Practice address
- 689 E Remington Dr
Suite C
Sunnyvale, CA 94087-1978 - Phone
- (408) 245-2444
- NPI assigned
- Jun 23, 2006
- Last updated
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 26771 | CA | Primary |
Addresses
Primary practice location
689 E Remington Dr
Suite C
Sunnyvale, CA 94087-1978
Mailing address
689 E Remington Dr
Suite C
Sunnyvale, CA 94087-1978
Phone (408) 245-2444
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119002046 | CA | Order and Referring Only - Dentist | 4082917406 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26771 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Marshall DDS and Associates | Past | Accepting new patients |
Interoperability endpoints
- steven.marshall@wsmc1.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Sunnyvale, CA
- NPI 1730501420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1568498624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 E REMINGTON DR",
"address_2": "SUITE C",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871978",
"telephone_number": "408-245-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 E REMINGTON DR",
"address_2": "SUITE C",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871978",
"telephone_number": "408-245-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "STEVEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "26771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.