Stacy Poole, DMD, Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

STACY POOLE, DMD, INC.

Practice address

1505 Shepard Dr Ste 101
Santa Maria, CA 93454-7016

Phone

(805) 922-4778

Fax

(805) 928-9811

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Poole, DMDNPI 1699920389

Title

Orthodontist

Phone

(805) 922-4778

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stacy Lynne Poole, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Maria, CA
  • NPI 1699920389
  NPD Authorized official

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1801511753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-922-4778",
            "fax_number": "805-928-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-922-4778",
            "fax_number": "805-928-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY POOLE, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "805-922-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine and Pain Treatment Medical Center of Santa Maria Inc
• Jeffrey Edward Spoo, M.D.
• Laura Lee Sprague, M.D.
• Charlene Squires
• Robin A Squires
• Chante Stallworth
• Beatrice Grace Stanley
• Star Physical Therapy of Santa Maria, Inc.
• Justin Terell Starling, PA-S
• Peter Anthony Statti, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.