W a Stephan, a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

W A STEPHAN, A DENTAL CORPORATION

Doing business as

Stephan Family Dental Group

Practice address

860 Jamacha Road Suite 201
El Cajon, CA 92019

Phone

(619) 593-3000

Fax

(858) 483-1051

NPI assigned

Mar 18, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Athra Stephan

Title

Office Manager

Phone

(619) 647-4590

Specialties & licenses 1

Addresses

Other names 1

• Stephan Family Dental Group Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hasan Khalid

  • Dentist
  • El Cajon, CA
  • NPI 1609311042
  NPD
• Heather Kiss, RDH

  • Dental Hygienist
  • El Cajon, CA
  • NPI 1619747714
  NPD
• Rami Aprael Sarkis

  • Dentist
  • El Cajon, CA
  • NPI 1740767904
  NPD (past)
• Waleed A Stephan, DDS

  • Dentist
  • El Cajon, CA
  • NPI 1841477387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1003616053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 JAMACHA RD STE 201",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193224",
            "telephone_number": "619-593-3000",
            "fax_number": "619-593-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 JAMACHA ROAD SUITE 201",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92019",
            "telephone_number": "619-593-3000",
            "fax_number": "858-483-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W A STEPHAN, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "ATHRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-647-4590"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephan Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vons Companies Inc (Vons Pharmacy #3044)
• Tiffanie Vu
• Alexa Arno Vuylsteke, PMHNP
• Kathleen S Wack
• Amberle J Wagner, LCSW
• Mistie Wagner
• Jezere Wahlgren
• William Edwaed Wainess

• General Practice Dentistry in El Cajon, CA
• Providers in El Cajon, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.