Individual provider Active NPI

Stanley Melvin Sokolow, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Cruz, CA
National Provider Identifier
1316361603
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
21409 Issued in CA
Practice address
824 Mission St
Santa Cruz, CA 95060-3681
Phone
(831) 426-1056
NPI assigned
Feb 7, 2014
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 21409 CA Primary

Addresses

Primary practice location

824 Mission St
Santa Cruz, CA 95060-3681

Mailing address

824 Mission St
Santa Cruz, CA 95060-3681
Phone (831) 426-1056

Other identifiers 1

IdentifierTypeStateIssuer
21409OtherCACALIFORNIA DENTAL LICENSE NUMBER

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
21409CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald P. Connolly DDS Apc Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1316361603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603681",
            "telephone_number": "831-426-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603681",
            "telephone_number": "831-426-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOW",
        "first_name": "STANLEY",
        "middle_name": "MELVIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "21409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE NUMBER",
            "identifier": "21409",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.