NPIMap

Organization Active NPI

Gregory W Staffon DDS a Dental Corporation

  • Dentist
  • Carlsbad, CA
National Provider Identifier
1780729475
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32616 Issued in CA
Legal business name
GREGORY W STAFFON DDS A DENTAL CORPORATION
Practice address
2815 Jefferson St Ste 300
Carlsbad, CA 92008-1717
Phone
(760) 434-3103
Fax
(760) 434-3108
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Gregory W Staffon, DDSNPI 1518396571
Title
President
Phone
(760) 434-3103

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 32616 CA Primary

Addresses

Primary practice location

2815 Jefferson St Ste 300
Carlsbad, CA 92008-1717

Mailing address

PO Box 6187
Laguna Niguel, CA 92607-6187
Phone (949) 280-9871

National Provider Directory

National Provider Directory

Locations

2815 Jefferson St
Ste 300
Carlsbad, CA 92008
Phone (760) 434-3103

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1780729475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6187",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926076187",
            "telephone_number": "949-280-9871",
            "fax_number": "760-434-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 JEFFERSON ST STE 300",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081717",
            "telephone_number": "760-434-3103",
            "fax_number": "760-434-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W STAFFON DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "STAFFON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-434-3103",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "32616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.