Individual provider Active NPI

Dawn Ellen Stock, DDS

  • General Practice Dentistry
  • Mill Valley, CA
National Provider Identifier
1497746168
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34223 Issued in CA
Practice address
141 Camino Alto
Ste 4
Mill Valley, CA 94941-2246
Phone
(415) 389-8520
Fax
(415) 389-0243
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34223 CA Primary

Addresses

Primary practice location

141 Camino Alto
Ste 4
Mill Valley, CA 94941-2246

Mailing address

141 Camino Alto
Ste 4
Mill Valley, CA 94941-2246
Phone (415) 389-8520

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
34223CAMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: dstock170068@direct-ucsfmedicalcenter.org

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1497746168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CAMINO ALTO",
            "address_2": "STE 4",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412246",
            "telephone_number": "415-389-8520",
            "fax_number": "415-389-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CAMINO ALTO",
            "address_2": "STE 4",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412246",
            "telephone_number": "415-389-8520",
            "fax_number": "415-389-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "DAWN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.