Stephanie Lise Trahan, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS106219 Issued in CA

Practice address

122 S Patterson Ave # C-133
Santa Barbara, CA 93111-2055

Phone

(805) 403-6226

NPI assigned

Oct 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trahan Pediatric Dental Group

  • Pediatric Dentistry
  • Santa Barbara, CA
  • NPI 1376230805
  NPD Authorized official
• Trahan Pediatric Dental Group

  • Pediatric Dentistry
  • Lompoc, CA
  • NPI 1760254239
  NPD Authorized official

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1881979425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE # C-133",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112055",
            "telephone_number": "805-403-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE # C-133",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112055",
            "telephone_number": "805-403-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E Ocean Ave Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934362500",
            "country_code": "US",
            "telephone_number": "804-456-2866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "STEPHANIE",
        "middle_name": "LISE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0079963",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS106219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Anne Townsend
• Emma Towslee, M.D.
• Abigail Quinn Tracy
• Deborah Traer
• Trahan Pediatric Dental Group
• Michael Aaron Trambert, M.D.
• Cherie Trammell
• Brandon Titus Tran
• Jaclyne Thuy Me Tran, PHARM D.
• Kyle Tran, DPT

• Pediatric Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.