STEVEN D. NYTKO (NPI# 1881687325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881687325 |
| Entity Type | Individual |
| Full Name | STEVEN D. NYTKO |
| Credential | D.D.S. |
| Practice Address |
19871 Mitscher Way Bdc Miramar - Bldg. 2495, Mcas Miramar San Diego CA 92145-5103 |
| Mailing Address |
1062 Tarento Dr San Diego CA 92107-4155 |
| Practice Telephone | 8585771825 |
| Mailing Telephone | 6198841992 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | 19022715 | IL | Dental Providers |
| X | 1223P0300X |
Dentist Specialization: Periodontics |
21001719 | IL | Dental Providers |
| Street Address |
19871 MITSCHER WAY BDC MIRAMAR - BLDG. 2495, MCAS MIRAMAR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92145-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324430 | Traci Lynn Lowry | Dental Hygienist | 19871 Mitscher Way, Branch Dental Clinic Miramar, San Diego, CA 92145-5103 | 2005-08-23 |
| 1992346597 | David Keith Jackson II | Dentist | 19871 Mitscher Way, San Diego, CA 92145-5103 | 2019-10-04 |
| 1649558511 | Caleb Noordmans | Dentist | 19871 Mitscher Way, San Diego, CA 92145-5103 | 2011-07-26 |
| 1932170271 | David Trowbridge | General Practice | 19871 Mitscher Way, San Diego, CA 92145 | 2006-01-26 |
| 1720071160 | Karen Marie Lynch | Dentist | 19871 Mitscher Way, Building 2495, San Diego, CA 92145-5103 | 2005-08-30 |
| 1366435141 | Matthew Brian Chesler | Dentist | 19871 Mitscher Way, Mcas Miramar, San Diego, CA 92415 | 2005-08-26 |
| 1588657613 | Elsa Bettina Dembinski | Dentist | 19871 Mitscher Way, #2495, San Diego, CA 92145-5103 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754241 | Joy Lee Kim | Dentist | Mcas Miramar Dental Clinic, Fpo, AA 92145 | 2017-08-01 |
| 1558500090 | Sean Patrick Overlie | Military Health Care Provider | 2496 Bauer Rd., Bmc Mcas Miramar, San Diego, CA 92145 | 2009-02-06 |
| 1053584540 | Craig Charles Rosario | Military Health Care Provider | Mcas Bmc Miramar, Bldg 2496, Bauer Rd., San Diego, CA 92145 | 2008-04-07 |
| 1710026059 | Breanne Williams Reid | Dentist | 19871 Mitcher Way, San Diego, CA 92145 | 2007-02-05 |
| 1821143165 | Enrico L Sarmiento | Physician Assistant | Bldg 2496 Bauer Rd, Bmc Miramar, San Diego, CA 92145 | 2007-01-25 |
| 1275684276 | Alexander Byron Galifianakis | Preventive Medicine | Mcas Miramar, Hmh-466, San Diego, CA 92145 | 2007-01-16 |
| 1407939408 | Frank J Bogni IIi | General Practice | Branch Medical Clinic Mcas Miramar, Apo, AA 92145 | 2006-10-23 |
| 1578531687 | Amber Nicole Floyd | Military Health Care Provider | Branch Medical Clinic Miramar, 2496 Mitchner Wy, San Diego, CA 92145 | 2006-03-14 |
| 1811964844 | Armando Gonzalez | Military Health Care Provider | Macg-38 Medical, San Diego, CA 92145 | 2006-03-08 |
| 1093787244 | Denise Elizabeth Coyle | Family Medicine | Miramar Family Practice, Mcas Miramar, San Diego, CA 92145 | 2006-02-02 |
| Find all providers in zip 92145 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048409 | Sara Siraj | Dentist | 7720 Tyrolean Rd, San Diego, CA 92126-1029 | 2020-09-22 |
| 1639785306 | Brittany Jordan Noris | Dentist | 5830 Oberlin Dr Ste 201, San Diego, CA 92121-3754 | 2020-09-18 |
| 1437761475 | Pouya Parsa | Dentist | 12275 Carmel Vista Rd Unit 224, San Diego, CA 92130-2536 | 2020-08-20 |
| 1366060808 | Azadeh Khajavi | Dentist | 16516 Bernardo Center Dr Ste 210, San Diego, CA 92128-2551 | 2020-07-10 |
| 1871127456 | Sandhya Ramanujam | Dentist | 16466 Bernardo Center Dr Ste 185, San Diego, CA 92128-2522 | 2020-02-23 |
| 1396396164 | Khanh Nguyen | Dentist | 8605 Andromeda Rd, San Diego, CA 92126-1803 | 2019-09-24 |
| 1770133977 | Jeffrey Leland Elmer | Dentist | 2310 Craven St Unit 3210, San Diego, CA 92136-5596 | 2019-09-19 |
| 1609429273 | Navya Jampala | Dentist | 10891 Creekbridge Pl, San Diego, CA 92128-5108 | 2019-07-22 |
| 1619529229 | Calli Ann Marando | Dentist | 2310 Craven St # 3230, San Diego, CA 92136-5596 | 2019-07-13 |
| 1669024428 | Bolivia Pereira Hurtado | Dentist | 2303 92136, 2309 Doyle St, San Diego, CA 92136-0001 | 2019-07-11 |
| Find all providers in SAN DIEGO | ||||
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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.