Organization Active NPI

Ralph C. Antolin Dental Coporation

  • General Practice Dentistry
  • Visalia, CA
National Provider Identifier
1093953192
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RALPH C. ANTOLIN DENTAL COPORATION
Doing business as
Visalia Family Dentistry
Practice address
1644 W Caldwell Ave
Suite a
Visalia, CA 93277-7730
Phone
(559) 740-0444
Fax
(559) 740-0445
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Dr. Ralph Caluag Antolin, D.M.D.NPI 1922023753
Title
President
Phone
(559) 740-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1644 W Caldwell Ave
Suite a
Visalia, CA 93277-7730

Mailing address

1644 W Caldwell Ave
Suite a
Visalia, CA 93277-7730
Phone (559) 740-0444

Other names 1

  • Visalia Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1644 W Caldwell Ave
Ste A
Visalia, CA 93277
Phone (559) 740-0444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1093953192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 W CALDWELL AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777730",
            "telephone_number": "559-740-0444",
            "fax_number": "559-740-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 W CALDWELL AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777730",
            "telephone_number": "559-740-0444",
            "fax_number": "559-740-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH C. ANTOLIN DENTAL COPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "ANTOLIN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "CALUAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-740-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visalia Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.