Individual provider Active NPI

Stuart Stephen Adam, DDS

  • General Practice Dentistry
  • Santa Maria, CA
National Provider Identifier
1508410002
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS104138 Issued in CA
Practice address
125 E Stowell Rd Ste 103
Santa Maria, CA 93454-6681
Phone
(805) 928-4391
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 DDS104138 CA Primary

Addresses

Primary practice location

125 E Stowell Rd Ste 103
Santa Maria, CA 93454-6681

Mailing address

125 E Stowell Rd Ste 103
Santa Maria, CA 93454-6681
Phone (805) 928-4391

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
DDS104138CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart S. Adam, DDS, Inc. CurrentSince Nov 24, 2024 Accepting new patients
Adam Family Dentistry General Practice CurrentSince Jan 17, 2022 Accepting new patients

Locations

125 E Stowell Rd
Ste 103
Santa Maria, CA 93454
Phone (805) 266-8176

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1508410002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E STOWELL RD STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546681",
            "telephone_number": "805-928-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E STOWELL RD STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546681",
            "telephone_number": "805-928-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "STUART",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS104138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.