Active NPI
Christopher Stellpflug, DDS
- General Practice Dentistry
- Pismo Beach, CA
National Provider Identifier
1295853430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46691
- Practice address
- 931 Oak Park Blvd
Suite 203
Pismo Beach, CA 93449-3402 - Phone
- (805) 481-1789
- Fax
- (805) 473-8299
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46691 | CA | Primary |
Addresses
Primary practice location
931 Oak Park Blvd
Suite 203
Pismo Beach, CA 93449-3402
Mailing address
931 Oak Park Blvd
Suite 203
Pismo Beach, CA 93449-3402
Phone (805) 481-1789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46691 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1295853430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 OAK PARK BLVD",
"address_2": "SUITE 203",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934493402",
"telephone_number": "805-481-1789",
"fax_number": "805-473-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 OAK PARK BLVD",
"address_2": "SUITE 203",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934493402",
"telephone_number": "805-481-1789",
"fax_number": "805-473-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELLPFLUG",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.