Active NPI
Waleed A Stephan, DDS
- Dentist
- El Cajon, CA
National Provider Identifier
1841477387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43892
- Practice address
- 860 Jamacha Rd Ste 201
El Cajon, CA 92019-3224 - Phone
- (619) 593-3000
- Fax
- (619) 593-3002
- NPI assigned
- Jan 28, 2008
- Last updated
- Jan 31, 2014
- Sex
- Male
- 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 | 43892 | CA | Primary |
Addresses
Primary practice location
860 Jamacha Rd Ste 201
El Cajon, CA 92019-3224
Mailing address
860 Jamacha Rd Ste 201
El Cajon, CA 92019-3224
Phone (619) 593-3000
Other names 1
- Dr. Waleed E Ashak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201015001265 | CA | Practitioner - Oral Surgery | 2264852102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephan Family Dental a Dental Corporation | Dentist | Current | Accepting new patients |
| W a Stephan, a Dental Corporation | Past | Accepting new patients |
Locations
860 Jamacha Rd
Ste 201
El Cajon, CA 92019
Phone (619) 593-3000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stephan Family Dental Group
- General Practice Dentistry
- El Cajon, CA
- NPI 1003616053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1841477387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 JAMACHA RD STE 201",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920193224",
"telephone_number": "619-593-3000",
"fax_number": "619-593-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 JAMACHA RD STE 201",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920193224",
"telephone_number": "619-593-3000",
"fax_number": "619-593-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHAN",
"first_name": "WALEED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WALEED",
"last_name": "ASHAK",
"middle_name": "E",
"prefix": "DR.",
"credential": "BDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.