Individual provider Active NPI

Steven Michael Streelman, DDS

  • General Practice Dentistry
  • Oceanside, CA
National Provider Identifier
1710953542
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54509 Issued in CA
Practice address
2123 S El Camino Real Ste a
Oceanside, CA 92054-6202
Phone
(760) 439-0600
NPI assigned
Feb 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 54509 CA Primary

Addresses

Primary practice location

2123 S El Camino Real Ste a
Oceanside, CA 92054-6202

Mailing address

2123 S El Camino Real Ste a
Oceanside, CA 92054-6202
Phone (760) 439-0600

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
I20160609002550 CA Order and Referring Only - DentistPractitioner - Dentist 3072803642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710953542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 S EL CAMINO REAL STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546202",
            "telephone_number": "760-439-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 S EL CAMINO REAL STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546202",
            "telephone_number": "760-439-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREELMAN",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.