Active NPI
Valentine Sviatocha, DDS
- Endodontics
- Martinez, CA
National Provider Identifier
1972881068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 62025
- Practice address
- 1503 Debbi CT
Martinez, CA 94553-6609 - Phone
- (847) 682-4882
- NPI assigned
- Jul 24, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS038805 | PA | |
| Endodontics | 1223E0200X | 62025 | CA | Primary |
Addresses
Primary practice location
1503 Debbi CT
Martinez, CA 94553-6609
Mailing address
1503 Debbi CT
Martinez, CA 94553-6609
Phone (847) 682-4882
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 |
|---|---|---|---|
| DS038805 | PA | MD | Dentist |
| 62025 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1972881068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 DEBBI CT",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945536609",
"telephone_number": "847-682-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 DEBBI CT",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945536609",
"telephone_number": "847-682-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVIATOCHA",
"first_name": "VALENTINE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-24",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS038805",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "62025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.