Alvin Sitompul D.D.S, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALVIN SITOMPUL D.D.S, INC.

Practice address

3820 Wible Rd Ste B
Bakersfield, CA 93309-6714

Phone

(805) 217-8993

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Alvin Sitompul, DDSNPI 1508295387

Title

President

Phone

(805) 390-7042

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alvin Sitompul, D.D.S.

  • Dentist
  • Loma Linda, CA
  • NPI 1508295387
  NPD Authorized official

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1124724174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11294 TIGER LILY ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930043350",
            "telephone_number": "805-390-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 WIBLE RD STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096714",
            "telephone_number": "805-217-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN SITOMPUL D.D.S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SITOMPUL",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-390-7042",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Alvarez
• Patricia Alvarez
• Selena Nicole Alvarez
• Veronica Alvarez
• Marissa Alvidrez, ASW
• Miriam Alzate, RN
• Alzheimer'S Disease Association of Kern County, Inc. (Adakc)
• Paniz Amanat
• Amanda P Cantu
• Aliza Amaya

• Dental Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.