Steven D. Nytko, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

19022715 Issued in IL

Practice address

19871 Mitscher Way
BDC Miramar - BLDG. 2495, McAs Miramar
San Diego, CA 92145-5103

Phone

(858) 577-1825

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881687325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 TARENTO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921074155",
            "telephone_number": "619-884-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19871 MITSCHER WAY",
            "address_2": "BDC MIRAMAR - BLDG. 2495, MCAS MIRAMAR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921455103",
            "telephone_number": "858-577-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYTKO",
        "first_name": "STEVEN",
        "middle_name": "D.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19022715",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "21001719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A. Nye, M.D.
• Cecilia Brooke Nyholm Ramirez
• Katherine N. Nyman, MD
• Stephen R. Nystul, MD
• Kaylee Nyswonger
• Kumudra Nyun
• Andrew Everett Nyx, PH.D.
• Lashyrah Amber O'Bannon-El
• Bridget Ann O'Brien, ANP
• Cassidy O'Brien

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.