Kristen Ritzau DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

59541 Issued in CA

Legal business name

KRISTEN RITZAU DDS, INC.

Practice address

122 Avenida Cabrillo
San Clemente, CA 92672-4039

Phone

(949) 498-4110

Fax

(949) 498-8657

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Kristen Ritzau, DDS

Title

Owner

Phone

(949) 498-4110

Specialties & licenses 1

Addresses

Tax ID family

Kristen Ritzau DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Kristen Ritzau D.D.S., Inc.

  • General Practice Dentistry
  • San Clemente, CA
  • NPI 1992180608
  NPD tax ID
• Kristen Ritzau, D.D.S., Inc.

  • General Practice Dentistry
  • San Clemente, CA
  • NPI 1548860414
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1043640915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 AVENIDA CABRILLO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724039",
            "telephone_number": "949-498-4110",
            "fax_number": "949-498-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 AVENIDA CABRILLO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724039",
            "telephone_number": "949-498-4110",
            "fax_number": "949-498-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN RITZAU DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "RITZAU",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-498-4110",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa B Korpi, OTR/L, HAND THERAPY
• Mark S Kosins, MD
• Anna Kreutinger
• Michael L Kreutz, D.C.
• Kristen Ritzau D.D.S., Inc.
• Kristen Ritzau, D.D.S., Inc.
• Kristin Blaney, Individual & Family Therapy, Inc.
• Kristin Blaney, Individual & Family Therapy, Inc.
• Kristin M Massamiri
• Kathleen Krueger, HHP

• Dental Clinic/Center in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.