Trahan Pediatric Dental Group

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TRAHAN PEDIATRIC DENTAL GROUP

Practice address

122 S Patterson Ave # C-133
Santa Barbara, CA 93111-2055

Phone

(805) 456-2866

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Lise Trahan, DMD, MPH, MANPI 1881979425

Title

Ceo

Phone

(805) 403-6226

Specialties & licenses 1

Addresses

Tax ID family

Goodland Children'S Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Trahan Pediatric Dental Group

  • Pediatric Dentistry
  • Lompoc, CA
  • NPI 1760254239
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Lise Trahan, D.M.D.

  • Pediatric Dentistry
  • Santa Barbara, CA
  • NPI 1881979425
  NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1376230805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE # C-133",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112055",
            "telephone_number": "805-456-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE # C-133",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112055",
            "telephone_number": "805-456-2866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E Ocean Ave Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934362500",
            "country_code": "US",
            "telephone_number": "805-456-2866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAHAN PEDIATRIC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-403-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH, MA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn C Towbes, PH.D.
• Beth Anne Townsend
• Emma Towslee, M.D.
• Abigail Quinn Tracy
• Deborah Traer
• Stephanie Lise Trahan, D.M.D.
• Michael Aaron Trambert, M.D.
• Cherie Trammell
• Brandon Titus Tran
• Jaclyne Thuy Me Tran, PHARM D.

• Pediatric Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.