Organization Active NPI

Ventura Dental Specialty Group

  • Periodontics
  • Ventura, CA
National Provider Identifier
1093986382
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
23666 Issued in CA
Legal business name
VENTURA DENTAL SPECIALTY GROUP
Practice address
3390 Loma Vista Rd
Suite#C
Ventura, CA 93003-3078
Phone
(805) 658-0700
Fax
(805) 658-0777
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Frank P Satinover, D.M.D
Title
Owner
Phone
(805) 658-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 23666 CA Primary

Addresses

Primary practice location

3390 Loma Vista Rd
Suite#C
Ventura, CA 93003-3078

Mailing address

3390 Loma Vista Rd
Suite#C
Ventura, CA 93003-3078
Phone (805) 658-0700

National Provider Directory

National Provider Directory

Locations

3390 Loma Vista Rd
Ventura, CA 93003
Phone (805) 658-0700

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1093986382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 LOMA VISTA RD",
            "address_2": "SUITE#C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033078",
            "telephone_number": "805-658-0700",
            "fax_number": "805-658-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 LOMA VISTA RD",
            "address_2": "SUITE#C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033078",
            "telephone_number": "805-658-0700",
            "fax_number": "805-658-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA DENTAL SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "SATINOVER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-658-0700",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "23666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.