Active NPI
Alexandra Kantor
- Dentist
- Riverside, CA
National Provider Identifier
1093146987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62676
- Practice address
- 5225 Canyon Crest Dr
Suite 209
Riverside, CA 92507-6301 - Phone
- (951) 686-7777
- NPI assigned
- Dec 3, 2013
- 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 | 62676 | CA | Primary |
Addresses
Primary practice location
5225 Canyon Crest Dr
Suite 209
Riverside, CA 92507-6301
Mailing address
3413 Italia Way
Unit 3
Oceanside, CA 92056-3795
Phone (317) 964-1123
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 |
|---|---|---|---|
| 62676 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig Merrihew, DDS, a Professional Corporation | 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.
-
- Dental Clinic/Center
- Riverside, CA
- NPI 1528798147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1093146987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3413 ITALIA WAY",
"address_2": "UNIT 3",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563795",
"telephone_number": "317-964-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 CANYON CREST DR",
"address_2": "SUITE 209",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925076301",
"telephone_number": "951-686-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTOR",
"first_name": "ALEXANDRA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-03",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.