DAFTINC AND STAMOSINC (NPI# 1972628774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972628774 |
| Entity Type | Organization |
| Organization Name | DAFTINC AND STAMOSINC |
| Practice Address |
10425 Fair Oaks Blvd Suite 203 Fair Oaks CA 95628-7559 |
| Practice Telephone | 9169661751 |
| Practice Fax Number | 9169668513 |
| Mailing Telephone | 9169661751 |
| Mailing Fax Number | 9169668513 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. KENT S. DAFT (PARTNER) |
| Authorized Official Telephone | 9169661751 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22335 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTLICENSECHARLESTSTAMOS | 28244 | 01 |
| CA | DENTALLICENSEKENT S. DAFT | 22335 | 01 |
| Street Address |
10425 FAIR OAKS BLVD SUITE 203 |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054618 | Linda Yu | Dentist | 10425 Fair Oaks Blvd, Ste 103, Fair Oaks, CA 95628-7559 | 2005-06-22 |
| 1558713693 | John Carson Dds Ms Inc | Dentist | 10425 Fair Oaks Blvd, Ste 102, Fair Oaks, CA 95628-7559 | 2016-07-12 |
| 1982085650 | James Musser | Dentist | 10425 Fair Oaks Blvd, Suite 101, Fair Oaks, CA 95628-7559 | 2015-06-17 |
| 1841508215 | Kristi Alexander D.d.s., Inc. | Dentist | 10425 Fair Oaks Blvd, Suite 104, Fair Oaks, CA 95628 | 2010-09-20 |
| 1346407194 | Jack Herbert Stansfield | Dentist | 10425 Fair Oaks Blvd, Suite #204, Fair Oaks, CA 95628-7559 | 2008-05-20 |
| 1063600807 | Kristina Kobita Kuprienko | Dentist | 10425 Fair Oaks Blvd, 201, Fair Oaks, CA 95628 | 2007-10-05 |
| 1972635076 | Ramouna Karvar | Dentist | 10425 Fair Oaks Blvd, Suite #103, Fair Oaks, CA 95628-7559 | 2007-03-12 |
| 1407904147 | John Thomas Carson Sr. | Dentist | 10425 Fair Oaks Blvd, Suite 102, Fair Oaks, CA 95628-7559 | 2007-01-08 |
| 1265598213 | James R. Musser, Dds, Inc. | Dentist | 10425 Fair Oaks Blvd, Suite 101, Fair Oaks, CA 95628-7559 | 2006-12-27 |
| 1003920364 | John L Johnson Dds and Todd L Johnson Dds Inc | Dentist | 10425 Fair Oaks Blvd, Suite #202, Fair Oaks, CA 95628 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194246546 | Christian Hagge | Dentist | 7806 Madison Ave Ste 100, Fair Oaks, CA 95628-3593 | 2017-07-06 |
| 1821281726 | Russell A Sutliff | Dentist | 11121 Fair Oaks Blvd, Fair Oaks, CA 95628-5136 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.