Doctor profile · Federal record

Dr. Stacie Fenderson, DDS MS

Orthodontics and Dentofacial Orthopedic Dentist · Sacramento, CA

  • NPI 1053500959
  • 19 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
8689 Folsom Blvd
Sacramento, CA 95826
(916) 381-7171
fax (916) 381-1171
Mailing address
350 Meadow Gate RD
Meadow Vista, CA 95722

Credentials & registration

NPPES · NUCC
NPI registered
October 2007 — 19 yrs on file
Specialty taxonomy
1223X0400X — NUCC code
State license (1)
California #52724

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053500959. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$36
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
American Orthodontics Corporation 2 $36.07

By nature of payment

Food and Beverage
$36

Frequently asked questions

Auto-generated from federal data
What is Dr. Stacie Fenderson's medical specialty?
Dr. Stacie Fenderson practices Orthodontics and Dentofacial Orthopedic Dentist in Sacramento, CA.
Where does Dr. Stacie Fenderson practice?
Dr. Stacie Fenderson practices at 8689 Folsom Blvd, Sacramento, CA 95826. Office phone: 9163817171.
What is Dr. Stacie Fenderson's NPI?
Dr. Stacie Fenderson's National Provider Identifier (NPI) is 1053500959, issued by NPPES.