Organization Active NPI

Dennis Stolpner MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1417638768
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DENNIS STOLPNER MD INC
Practice address
6221 Wilshire Blvd Ste 504
Los Angeles, CA 90048-5223
Phone
(323) 965-9995
NPI assigned
Jul 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Dennis StolpnerNPI 1497018782
Title
President
Phone
(323) 475-5077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

6221 Wilshire Blvd Ste 504
Los Angeles, CA 90048-5223

Mailing address

11420 Dona Teresa Dr
Studio City, CA 91604-4271
Phone (323) 475-5077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231010003146 CA Part B Supplier - Clinic/Group Practice 9335594464 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA; Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

2021 Santa Monica Blvd
Ste 4
Santa Monica, CA 90404

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1417638768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 DONA TERESA DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044271",
            "telephone_number": "323-475-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD STE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485223",
            "telephone_number": "323-965-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS STOLPNER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "STOLPNER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-475-5077"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.