NPIMap

Organization Active NPI

W. Frederick Stephens,DDS,Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Pasadena, CA
National Provider Identifier
1174797708
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
34775 Issued in CA
Legal business name
W. FREDERICK STEPHENS,DDS,INC
Practice address
301 S Fair Oaks Ave
Suite #107
Pasadena, CA 91105-2561
Phone
(626) 440-0099
Fax
(626) 440-1002
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Dr. William Frederick StephensNPI 1487736591
Title
Owner/President
Phone
(626) 440-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 34775 CA Primary

Addresses

Primary practice location

301 S Fair Oaks Ave
Suite #107
Pasadena, CA 91105-2561

Mailing address

301 S Fair Oaks Ave
Suite #107
Pasadena, CA 91105-2561
Phone (626) 440-0099

Other names 1

  • The Pacific Coast Center for Oral & Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1174797708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "SUITE #107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-440-0099",
            "fax_number": "626-440-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "SUITE #107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-440-0099",
            "fax_number": "626-440-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. FREDERICK STEPHENS,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "626-440-0099",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "34775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pacific Coast Center for Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.