Steve J Guidone, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21256 Issued in CA

Practice address

1104 Highland Ave
Suite C
Manhattan Beach, CA 90266-5321

Phone

(310) 374-9749

Fax

(310) 374-0499

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 27, 2020 through Feb 27, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669568820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 HIGHLAND AVE",
            "address_2": "SUITE C",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665321",
            "telephone_number": "310-374-9749",
            "fax_number": "310-374-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 HIGHLAND AVE",
            "address_2": "SUITE C",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665321",
            "telephone_number": "310-374-9749",
            "fax_number": "310-374-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDONE",
        "first_name": "STEVE",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie B Groat
• Alice Marie Grob, D.C.
• Vince Guagliano, DC
• Jacqueline Guan, ASW, MSW
• Bryndis Jastan Gudmundsson, LMFT
• Cindy Adriana Gutierrez, DPT
• Erick Eli Gutierrez, DMD
• David Jon Gutkin, D.O.
• Sarah Mariam Hadar, DMD
• Jennifer Haddad, L.AC

• General Practice Dentistry in Manhattan Beach, CA
• Providers in Manhattan Beach, 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.