Stephen Burgstaller DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

License

B34676 Issued in CA

Legal business name

STEPHEN BURGSTALLER DMD INC

Doing business as

Pacheo Family Dentistry

Practice address

218 Center Ave
Pacheco, CA 94553-5553

Phone

(925) 671-9900

Fax

(925) 671-9932

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Stephen Edward Burgstaller, DMDNPI 1184008898

Title

Owner

Phone

(925) 671-9900

Specialties & licenses 1

Addresses

Other names 1

• Pacheo Family Dentistry Doing business as

Locations

Practitioners 1

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

• Stephen Edward Burgstaller, DMD.

  • General Practice Dentistry
  • Pacheco, CA
  • NPI 1184008898
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609096270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CENTER AVE",
            "city": "PACHECO",
            "state": "CA",
            "postal_code": "945535553",
            "telephone_number": "925-671-9900",
            "fax_number": "925-671-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CENTER AVE",
            "city": "PACHECO",
            "state": "CA",
            "postal_code": "945535553",
            "telephone_number": "925-671-9900",
            "fax_number": "925-671-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN BURGSTALLER DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGSTALLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-671-9900",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B34676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacheo Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Pacheco, CA
• Providers in Pacheco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.