Active NPI
Steven Joshua Todd, DMD
- Endodontics
- Pensacola, FL
National Provider Identifier
1891957197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN24656
- Practice address
- 5016 Grande Dr Ste 101
Pensacola, FL 32504-8991 - Phone
- (850) 696-0820
- Fax
- (850) 696-0458
- NPI assigned
- Jun 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN24656 | FL | Primary |
Addresses
Primary practice location
5016 Grande Dr Ste 101
Pensacola, FL 32504-8991
Mailing address
5016 Grande Dr Ste 101
Pensacola, FL 32504-8991
Phone (850) 696-0820
Other practice location 1
2441 21st St
Fort Campbell, KY 42223-5582
Phone (270) 798-8751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24656 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Endodontics | Endodontics | Current | Accepting new patients |
| Elite Endodontics of Pensacola PLLC | Endodontics | Current | Accepting new patients |
Locations
5016 Grande Dr
Ste 101
Pensacola, FL 32504
Phone (850) 696-0820
6111 N Davis Hwy
Ste B
Pensacola, FL 32504
Phone (850) 474-0565
Organizations & group practices 2
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.
-
- Endodontics
- Pensacola, FL
- NPI 1275163099
-
- Endodontics
- Pensacola, FL
- NPI 1164306007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1891957197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5016 GRANDE DR STE 101",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048991",
"telephone_number": "850-696-0820",
"fax_number": "850-696-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5016 GRANDE DR STE 101",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048991",
"telephone_number": "850-696-0820",
"fax_number": "850-696-0458"
}
],
"practiceLocations": [
{
"address_1": "2441 21st St",
"address_purpose": "LOCATION",
"city": "Fort Campbell",
"state": "KY",
"postal_code": "422235582",
"country_code": "US",
"telephone_number": "270-798-8751",
"fax_number": "270-956-0266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "STEVEN",
"middle_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-27",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN24656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.