Charles E. Stirewalt DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32504 Issued in CA

Legal business name

CHARLES E. STIREWALT DDS, INC.

Practice address

39345 10TH St W
Building B
Palmdale, CA 93551-3779

Phone

(661) 274-8065

Fax

(661) 274-8711

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles E. Stirewalt, DDS

Title

Owner

Phone

(714) 428-1300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184700643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SANDPOINTE AVE",
            "address_2": "8TH FLOOR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075778",
            "telephone_number": "714-428-1300",
            "fax_number": "714-428-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39345 10TH ST W",
            "address_2": "BUILDING B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513779",
            "telephone_number": "661-274-8065",
            "fax_number": "661-274-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. STIREWALT DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STIREWALT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-428-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fabiola Chavez Sanchez, FNPBC
• Marisol Chavez-Arias, MS, HCI

• All providers in Palmdale, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.