Stephanie Marie Dentoni, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A79037 Issued in CA

Practice address

2216 N California St
Ste C
Stockton, CA 95204-5533

Phone

(209) 462-8346

Fax

(209) 462-8347

NPI assigned

Aug 2, 2005

Sex

Female

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Stephanie M. Dentoni MD, Inc

  • Surgery Physician
  • Stockton, CA
  • NPI 1063430718
  NPD Authorized official

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1821099888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579120",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953579120",
            "telephone_number": "209-759-2533",
            "fax_number": "541-722-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 N CALIFORNIA ST",
            "address_2": "STE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045533",
            "telephone_number": "209-462-8346",
            "fax_number": "209-462-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTONI",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A79037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Dennison, RN, BSN, PHN
• Almastro Denny Jr.
• Kelsi Denny
• Dental Surgery Centers of America
• Jacqueline Denton
• Nishant Deo, PHARM.D
• Kulwinder Kaur Deol, NURSE PRACTITIONER
• Pawanveer Kaur Deol
• Sukhvinder Kaur Deol
• Ashley Deoquino, CMA

• Specialist in Stockton, CA
• Providers in Stockton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.