Active NPI
Stephanie Elaine Low, DDS
- Dentist
- Stockton, CA
National Provider Identifier
1730802398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108065
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 108065 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William G.Low DDS a Professional Dental Corp | Past | 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.
-
- General Practice Dentistry
- Manteca, CA
- NPI 1295981330
-
- General Practice Dentistry
- Stockton, CA
- NPI 1184818569
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.