Active NPI
Rekha Vontela, DDS
- Dentist
- Antioch, CA
National Provider Identifier
1003009440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49703
- Practice address
- 3737 Lone Tree Way
Suite F
Antioch, CA 94509-6065 - Phone
- (925) 754-5432
- Fax
- (925) 754-0877
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49703 | CA | Primary |
Addresses
Primary practice location
3737 Lone Tree Way
Suite F
Antioch, CA 94509-6065
Mailing address
3737 Lone Tree Way
Suite F
Antioch, CA 94509-6065
Phone (925) 754-5432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49703 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rekha Vontela DDS | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Antioch, CA
- NPI 1427388875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1003009440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 LONE TREE WAY",
"address_2": "SUITE F",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096065",
"telephone_number": "925-754-5432",
"fax_number": "925-754-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 LONE TREE WAY",
"address_2": "SUITE F",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096065",
"telephone_number": "925-754-5432",
"fax_number": "925-754-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONTELA",
"first_name": "REKHA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.