Active NPI
Trahan Pediatric Dental Group
- Pediatric Dentistry
- Lompoc, CA
National Provider Identifier
1760254239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- TRAHAN PEDIATRIC DENTAL GROUP
- Practice address
- 1111 E Ocean Ave Ste 4B
Lompoc, CA 93436-2500 - Phone
- (805) 456-2866
- Fax
- (805) 456-0350
- NPI assigned
- Oct 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie Trahan, DMD
- Title
- Ceo
- Phone
- (805) 456-2866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
1111 E Ocean Ave Ste 4B
Lompoc, CA 93436-2500
Mailing address
1111 E Ocean Ave Ste 4B
Lompoc, CA 93436-2500
Phone (805) 456-2866
Other names 1
- Goodland Children's Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Goodland Children'S Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Santa Barbara, CA
- NPI 1376230805
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Santa Barbara, CA
- NPI 1881979425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698278400000",
"number": "1760254239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E OCEAN AVE STE 4B",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934362500",
"telephone_number": "805-456-2866",
"fax_number": "805-456-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E OCEAN AVE STE 4B",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934362500",
"telephone_number": "805-456-2866",
"fax_number": "805-456-0350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAHAN PEDIATRIC DENTAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-26",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A",
"authorized_official_last_name": "TRAHAN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-456-2866",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goodland Children's Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.