Stanley H. Nakamura D.D.S., Inc.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

30457 Issued in CA

Legal business name

STANLEY H. NAKAMURA D.D.S., INC.

Practice address

850 Prospect St
Suite 5
La Jolla, CA 92037-4208

Phone

(858) 454-0325

Fax

(858) 454-5810

NPI assigned

Jul 24, 2009

Last updated

Dec 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linh Nakamura

Title

Office Administrator

Phone

(858) 454-0325

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trisha-Ann Thomas, RDHAP

  • Dental Therapist
  • San Diego, CA
  • NPI 1114497054
  NPD

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1669602694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PROSPECT ST",
            "address_2": "SUITE 5",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374208",
            "telephone_number": "858-454-0325",
            "fax_number": "858-454-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PROSPECT ST",
            "address_2": "SUITE 5",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374208",
            "telephone_number": "858-454-0325",
            "fax_number": "858-454-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY H. NAKAMURA D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "NAKAMURA",
        "authorized_official_first_name": "LINH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "858-454-0325"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "30457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "30457",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Treavelyn Stafford, D.C.
• Matthew Carlton Stagg
• Richard Duane Stahl, MD
• Gregory Allen Stainer, MD FACS
• Barbara Eloise Stangl, MSN FNP-BC
• Debra Stanley, R.D.
• Roman Starikov, MD
• Nina A Stark, LCSW,BCD
• Paul Stark, M.D.
• Max Staskauskas

• Oral and Maxillofacial Pathology Dentistry in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.