MARTIN STEPANYAN (NPI# 1164504288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164504288 |
| Entity Type | Individual |
| Full Name | MARTIN STEPANYAN |
| Credential | D.M.D |
| Practice Address |
301 S Fair Oaks Ave Ste 107 Pasadena CA 91105-2536 |
| Practice Telephone | 6264400099 |
| Practice Fax Number | 6264401002 |
| Mailing Telephone | 6264400099 |
| Mailing Fax Number | 6264401002 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
45529 | CA | Dental Providers |
| Street Address |
301 S FAIR OAKS AVE STE 107 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487736591 | William Frederick Stephens | Dentist | 301 S Fair Oaks Ave Ste 107, Pasadena, CA 91105-2536 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1972941292 | Tony Tian Lian Li | Dentist | 163 N Marengo Ave, #401, Pasadena, CA 91101-4509 | 2013-06-09 |
| 1669619763 | Simon Kyuseok Choyee | Dentist | 170 W Dayton St # 3015, Pasadena, CA 91105-4517 | 2009-01-11 |
| 1487736591 | William Frederick Stephens | Dentist | 301 S Fair Oaks Ave Ste 107, Pasadena, CA 91105-2536 | 2006-10-19 |
| 1801872395 | Kimberly A Ebner Dds Inc | Dentist | 1060 E Green Street, Suite 105, Pasadena, CA 91106 | 2005-12-16 |
| 1174145726 | Noor Oms Pllc | Dentist | 6429 Fairmont Pkwy Ste 102, Pasadena, TX 77505-4357 | 2020-05-16 |
| 1174797708 | W. Frederick Stephens,dds,inc | Dentist | 301 S Fair Oaks Ave, Suite #107, Pasadena, CA 91105-2561 | 2008-04-15 |
| 1114146123 | Warner Evans Heathman | Dentist | 4010 Vista Rd, Suite B, Pasadena, TX 77504-2183 | 2007-04-25 |
| 1285779785 | Karen Mygil | Dentist | 8025 Ritchie Hwy, Pasadena, MD 21122-1031 | 2007-02-21 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.