Active NPI
James E. Stich, D.D.S.
- Endodontics
- Fairfield, CA
National Provider Identifier
1407881873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 36286
- Practice address
- 1377 Oliver Rd
Fairfield, CA 94534-3470 - Phone
- (707) 427-8836
- Fax
- (707) 427-8807
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 36286 | CA | Primary |
Addresses
Primary practice location
1377 Oliver Rd
Fairfield, CA 94534-3470
Mailing address
1377 Oliver Rd
Fairfield, CA 94534-3470
Phone (707) 427-8836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 11, 2017 through Oct 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36286 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407881873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 OLIVER RD",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945343470",
"telephone_number": "707-427-8836",
"fax_number": "707-427-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1377 OLIVER RD",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945343470",
"telephone_number": "707-427-8836",
"fax_number": "707-427-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICH",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "36286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.