Deyo Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DEYO DENTAL CORPORATION

Doing business as

Stellar Orthodontics

Practice address

960 W San Marcos Blvd Ste 100
San Marcos, CA 92078-1122

Phone

(310) 913-9013

NPI assigned

Jul 25, 2024

Last updated

Jul 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Laura Deyo, DDS, MSNPI 1659637973

Title

Orthodontist

Phone

(310) 913-9013

Specialties & licenses 2

Addresses

Other names 1

• Stellar Orthodontics Doing business as

Locations

Practitioners 1

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.

• Laura Takahashi Deyo, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Marcos, CA
  • NPI 1659637973
  NPD Authorized official

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1154159408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 HOLMGROVE DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W SAN MARCOS BLVD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781122",
            "telephone_number": "310-913-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEYO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "DEYO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "310-913-9013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellar Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Desales
• Garrett Robert Desrosiers, PT, DPT
• Kayleigh Ann Desrosiers, PT, DPT
• Destinations Direct Primary Care
• Alexandra Dexter
• Laura Takahashi Deyo, DDS
• Rachel Piazza Dezember, LCSW
• Riti Di Angeli
• Shannon Di Pietro
• Diabetic Foot & Wound Treatment Centers

• Orthodontics and Dentofacial Orthopedics Dentistry in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.