Alexander V. Antipov, D.D.S., Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ALEXANDER V. ANTIPOV, D.D.S., INC.

Practice address

911 Reserve Drive, Suite 150
Roseville, CA 95678

Phone

(916) 783-2110

Fax

(916) 783-2111

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Alexander Antipov, DDS

Title

Owner

Phone

(916) 783-2110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1114533064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 RESERVE DRIVE, SUITE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95678",
            "telephone_number": "916-783-2110",
            "fax_number": "916-783-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 RESERVE DRIVE, SUITE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95678",
            "telephone_number": "916-783-2110",
            "fax_number": "916-783-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER V. ANTIPOV, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "ANTIPOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-783-2110",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alemcare Medical Transport LLC
• Alex Anders- Cook D.C., a Life Clinic Corporation
• Andrea Alexan
• Alexander Antipov Inc
• Alexander Kaplan DDS Dental Corp (Eureka Dental Group, Inc.)
• Breanna Alexander
• Kristi Lynn Alexander, DDS
• Rilee A Alford
• Lillian Alhafez, LCSW
• Hamidreza Aliabadi, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Roseville, CA
• Providers in Roseville, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.