Individual provider Active NPI

Stephanie Elaine Low, DDS

  • Dentist
  • Stockton, CA
National Provider Identifier
1730802398
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108065 Issued in CA
Practice address
1341 N El Dorado St
Stockton, CA 95202-1016
Phone
(209) 465-5747
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108065 CA Primary

Addresses

Primary practice location

1341 N El Dorado St
Stockton, CA 95202-1016

Mailing address

6016 Huntingdale Cir
Stockton, CA 95219-1900
Phone (209) 406-7680

Other practice location 1

230 Cherry Ln
Manteca, CA 95337-4384
Phone (209) 823-9249

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
108065CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
William G.Low DDS a Professional Dental Corp PastSince Sep 25, 2022 Accepting new patients
William G. Low D.D.S. a Professional Dental Corporation Past Accepting new patients

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1730802398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 HUNTINGDALE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191900",
            "telephone_number": "209-406-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021016",
            "telephone_number": "209-465-5747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Cherry Ln",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953374384",
            "country_code": "US",
            "telephone_number": "209-823-9249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOW",
        "first_name": "STEPHANIE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.