Stephen G Alfano DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

56564 Issued in CA

Legal business name

STEPHEN G ALFANO DDS INC

Practice address

217 Marine Ave Ste a
Newport Beach, CA 92662-1289

Phone

(949) 673-7820

Fax

(949) 673-6682

NPI assigned

Jul 28, 2016

Organization subpart

Yes

Parent organization

BALBOA ISLAND DENTISTRYAs reported in NPPES

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

Authorized official

Name

Stephen G Alfano, DDS

Title

Owner/Dentist

Phone

(949) 673-7820

Specialties & licenses 1

Addresses

Part of

Stephen G Alfano DDS Inc

Locations

Practitioners 1

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

• Ronald Steven Ballback, DDS

  • General Practice Dentistry
  • Newport Beach, CA
  • NPI 1851500896
  NPD (past)

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1508319229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MARINE AVE STE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926621289",
            "telephone_number": "949-673-7820",
            "fax_number": "949-673-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MARINE AVE STE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926621289",
            "telephone_number": "949-673-7820",
            "fax_number": "949-673-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G ALFANO DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALBOA ISLAND DENTISTRY",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "ALFANO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "949-673-7820",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.