NPIMap

Organization Active NPI

Rita M. Antolin

  • General Practice Dentistry
  • Canoga Park, CA
National Provider Identifier
1093909731
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RITA M. ANTOLIN
Practice address
21301 Saticoy St
Suite a
Canoga Park, CA 91304-5639
Phone
(818) 703-1299
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Miss Rita Mariano Antolin, DDS
Title
Owner
Phone
(818) 703-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

21301 Saticoy St
Suite a
Canoga Park, CA 91304-5639

Mailing address

21301 Saticoy St
Suite a
Canoga Park, CA 91304-5639
Phone (818) 703-1299

National Provider Directory

National Provider Directory
Tax ID family
Rita M Antolin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

21301 Saticoy St
Ste A
Canoga Park, CA 91304
Phone (818) 703-1299

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1093909731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 SATICOY ST",
            "address_2": "SUITE A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913045639",
            "telephone_number": "818-703-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 SATICOY ST",
            "address_2": "SUITE A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913045639",
            "telephone_number": "818-703-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA M. ANTOLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "ANTOLIN",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "MARIANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-703-1299",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.