Organization Active NPI

Stephanie a. Dodson DDS Ms

  • Dental Clinic/Center
  • Los Alamitos, CA
National Provider Identifier
1124483276
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
39393 Issued in CA
Legal business name
STEPHANIE A. DODSON DDS MS
Practice address
4608 Katella Ave
Suite 201
Los Alamitos, CA 90720-2684
Phone
(562) 430-0541
Fax
(562) 598-0005
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Stephanie Ann Dodson, DDS, MS
Title
Owner
Phone
(562) 230-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 39393 CA Primary

Addresses

Primary practice location

4608 Katella Ave
Suite 201
Los Alamitos, CA 90720-2684

Mailing address

337 E Avocado Crest Rd
La Habra Heights, CA 90631-8125
Phone (562) 230-1116

National Provider Directory

National Provider Directory

Locations

4608 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (562) 430-0541

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1124483276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 E AVOCADO CREST RD",
            "city": "LA HABRA HEIGHTS",
            "state": "CA",
            "postal_code": "906318125",
            "telephone_number": "562-230-1116",
            "fax_number": "562-598-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 KATELLA AVE",
            "address_2": "SUITE 201",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202684",
            "telephone_number": "562-430-0541",
            "fax_number": "562-598-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE A. DODSON DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-230-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "39393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.