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DR. STEVEN EUGENE PENN DDS
NPI 1235396904
Dentist - Endodontics in Davis, CA

Active since May 20, 2008Opted out of Medicare · through May 23, 2028
1791 OAK AVE, SUITE B, DAVIS, CA 95616(530) 753-4530(530) 753-3263 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Steven Eugene Penn Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEVEN EUGENE PENN DDS (NPI 1235396904) is an individual endodontics provider in Davis, California, licensed in California (29418) and active in the NPI registry since May 2008. He has opted out of Medicare through May 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235396904
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. STEVEN EUGENE PENNCredential: DDS
Location Address1791 OAK AVE, SUITE BDavis, CA 95616-1073
Mailing Address1791 Oak Ave, Suite BDavis, CA 95616-1073 · (530) 753-4530 · Fax (530) 753-3263
Phone(530) 753-4530
Fax(530) 753-3263
Sole ProprietorNo
Enumeration DateMay 20, 2008
✔ NPI 1235396904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 29418
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1791 OAK AVE, Davis, CA 95616
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Steven Eugene Penn Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 23, 2016 through May 23, 2028.

Opt-Out Effective DateMay 23, 2016
Opt-Out In Effect ThroughMay 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAOMI ZAUL D.D.S.
Dentist (Pediatric Dentistry)
1791 OAK AVE, #C
DAVIS, CA 95616
Yolo County (530) 756-7516
MR. RICHARD A MANDELARIS DMD
Dentist (Pediatric Dentistry)
1791 OAK AVE, #C
DAVIS, CA 95616
Yolo County (530) 756-7516
DR. ENBORG BECKER HALLE DDS
Dentist (Endodontics)
1791 OAK AVE, SUITE B
DAVIS, CA 95616
Yolo County (530) 753-4530
DR. LISA ANN ELENBERGER DDS
Dentist (Pediatric Dentistry)
1791 OAK AVE, SUITE C
DAVIS, CA 95616
Yolo County (530) 756-7516
DR. RICHARD C. KENNEDY JR. D.D.S.
Dentist (General Practice)
1791 OAK AVE, SUITE A
DAVIS, CA 95616
Yolo County (530) 753-2053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Penn's NPI number?

The NPI number for Steven Penn is 1235396904. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Steven Penn located?

Steven Penn practices at 1791 Oak Ave Suite B, Davis, CA 95616. The listed phone number is (530) 753-4530.

What is Steven Penn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Steven Penn enrolled in Medicare?

No. Steven Penn has opted out of Medicare through May 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Steven Penn was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.