Organization Active NPI

Daftinc and Stamosinc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fair Oaks, CA
National Provider Identifier
1972628774
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22335 Issued in CA
Legal business name
DAFTINC AND STAMOSINC
Practice address
10425 Fair Oaks Blvd
Suite 203
Fair Oaks, CA 95628-7559
Phone
(916) 966-1751
Fax
(916) 966-8513
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Kent S. Daft, DDS
Title
Partner
Phone
(916) 966-1751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 22335 CA Primary

Addresses

Primary practice location

10425 Fair Oaks Blvd
Suite 203
Fair Oaks, CA 95628-7559

Mailing address

10425 Fair Oaks Blvd
Suite 203
Fair Oaks, CA 95628-7559
Phone (916) 966-1751

Other identifiers 2

IdentifierTypeStateIssuer
28244OtherCADENTLICENSECHARLESTSTAMOS
22335OtherCADENTALLICENSEKENT S. DAFT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1972628774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 FAIR OAKS BLVD",
            "address_2": "SUITE 203",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287559",
            "telephone_number": "916-966-1751",
            "fax_number": "916-966-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 FAIR OAKS BLVD",
            "address_2": "SUITE 203",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287559",
            "telephone_number": "916-966-1751",
            "fax_number": "916-966-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAFTINC AND STAMOSINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DAFT",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "916-966-1751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "22335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTLICENSECHARLESTSTAMOS",
            "identifier": "28244",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTALLICENSEKENT S. DAFT",
            "identifier": "22335",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.