Individual provider Active NPI

Stanley Alan Dittman, D.D.S.

  • Dentist
  • Napa, CA
National Provider Identifier
1295957082
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28539 Issued in CA
Practice address
980 Trancas St
Suite 7
Napa, CA 94558-2933
Phone
(707) 226-2310
Fax
(707) 226-2673
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28539 CA Primary

Addresses

Primary practice location

980 Trancas St
Suite 7
Napa, CA 94558-2933

Mailing address

980 Trancas St
Suite 7
Napa, CA 94558-2933
Phone (707) 226-2310

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

LicenseStateTypeSpecialty
28539CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295957082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 TRANCAS ST",
            "address_2": "SUITE 7",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582933",
            "telephone_number": "707-226-2310",
            "fax_number": "707-226-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 TRANCAS ST",
            "address_2": "SUITE 7",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582933",
            "telephone_number": "707-226-2310",
            "fax_number": "707-226-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMAN",
        "first_name": "STANLEY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "28539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.