Individual provider Active NPI

Ronald Dale Atanay, D.D.S.

  • Dentist
  • Ventura, CA
National Provider Identifier
1174721054
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30540 Issued in CA
Practice address
1545 Morse Ave Ste a
Ventura, CA 93003-5171
Phone
(805) 676-1800
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30540 CA Primary

Addresses

Primary practice location

1545 Morse Ave Ste a
Ventura, CA 93003-5171

Mailing address

2500 Union Ave
La Habra, CA 90631-5837
Phone (562) 697-5283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30540CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ron D Atanay DDS Professional Corporation CurrentSince Mar 12, 2024 Accepting new patients

Locations

1545 Morse Ave
Ste A
Ventura, CA 93003
Phone (805) 676-1800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1174721054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 UNION AVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315837",
            "telephone_number": "562-697-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 MORSE AVE STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035171",
            "telephone_number": "805-676-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANAY",
        "first_name": "RONALD",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30540",
            "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 4, 2024; 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.