Stephen John Dentone, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7175 Issued in CA

Practice address

1270 Arroyo Way
Walnut Creek, CA 94596-4216

Phone

(925) 945-8188

Fax

(925) 945-0360

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Eyecare Professional Optometric Group

  • Optometrist
  • Glendale, CA
  • NPI 1306035118
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811026552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 ARROYO WAY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964216",
            "telephone_number": "925-945-8188",
            "fax_number": "925-945-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 ARROYO WAY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964216",
            "telephone_number": "925-945-8188",
            "fax_number": "925-945-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTONE",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Joseph Denhard
• Denielle C. Medynski, DMD, Inc
• Denise M. Hilliard, MD Medical Corporation, Inc
• Dennis Y. Fong, M.D., Professional Corporation
• Camille Denton, M.A.
• Joann Adele Depetro, M.A., MFT
• Agnieszka Depinska, MS, RD
• Derek Jue MD
• Stefanie Loreine Derrick
• James P Derum, PA-C

• All providers in Walnut Creek, CA
• Optometrist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.