Organization Active NPI

Stone Thayer MD, DMD, Apc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Diego, CA
National Provider Identifier
1871189860
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
STONE THAYER MD, DMD, APC
Practice address
1000 W Washington St Ste 1
San Diego, CA 92103-1873
Phone
(619) 297-0700
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Stone Thayer, MD
Title
Owner
Phone
(657) 284-2178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

1000 W Washington St Ste 1
San Diego, CA 92103-1873

Mailing address

1000 W Washington St Ste 1
San Diego, CA 92103-1873

National Provider Directory

National Provider Directory

Locations

1000 W Washington St
Ste 1
San Diego, CA 92103
Phone (619) 297-0700

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": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1871189860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W WASHINGTON ST STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WASHINGTON ST STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031873",
            "telephone_number": "619-297-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE THAYER MD, DMD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "STONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "657-284-2178",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.