Elena Stan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS109274 Issued in CA

Practice address

67 Stanton Ave
Orinda, CA 94563-1620

Phone

(925) 495-3832

NPI assigned

Jun 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elena Stan Corp

  • General Practice Dentistry
  • Concord, CA
  • NPI 1063382778

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1013759596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 STANTON AVE",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945631620",
            "telephone_number": "925-495-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 STANTON AVE",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945631620",
            "telephone_number": "925-495-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAN",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS109274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candia Kathryn Smith, DMH
• Mary H Smith, DDS
• Susan Snyder, PH.D.
• Carly Spagnola, AMFT
• Rebecca Spalding
• Natalie Louise Steffen, LEP, M.ED.
• Ann E Stevens, M.D.
• Malaika Stoll, M.D.
• Strawberry Creek Medical Group of California PC
• Sumeet Sandhu DDS Inc

• General Practice Dentistry in Orinda, CA
• Providers in Orinda, 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 Jun 6, 2024; 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.