IndividualActive
Stacie Elson, RDA
NPI 1083774285 · Dental Assistant · Modesto, CA
Stacie Elson, RDA is a Dental Assistant provider in Modesto, CA (NPI 1083774285).
Provider details
- NPI number
- 1083774285
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- RDA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29984 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1130 Coffee Rd Ste 9a
Modesto, CA 95355-4228
Phone: (209) 571-7283
Fax: (209) 571-7285
Street-level locationGet directions
Mailing address
1130 Coffee Rd Ste 9a
Modesto, CA 95355-4228
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Stacie Elson's NPI number?
- Stacie Elson's National Provider Identifier (NPI) is 1083774285, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacie Elson's specialty?
- Stacie Elson is listed in the NPPES registry with a primary specialty of Dental Assistant (Dental Providers).
- Where is Stacie Elson located?
- Stacie Elson's practice location on file with NPPES is 1130 Coffee Rd Ste 9a, Modesto, CA 95355-4228.
- What is Stacie Elson's phone number?
- The practice phone number listed in the NPPES registry for Stacie Elson is (209) 571-7283.
- Is Stacie Elson's NPI active?
- Yes — Stacie Elson's NPI (1083774285) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.