Organization Active NPI

Asano & Abbink Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ventura, CA
National Provider Identifier
1295780724
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
18677 Issued in CA
Legal business name
ASANO & ABBINK DENTAL CORPORATION
Practice address
4080 Loma Vista Rd., Ste L.
Ventura, CA 93003
Phone
(805) 642-2393
Fax
(805) 642-5265
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. William S. Asano, DDS
Title
President of Corporation
Phone
(805) 642-2393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 18677 CA Primary

Addresses

Primary practice location

4080 Loma Vista Rd., Ste L.
Ventura, CA 93003

Mailing address

4080 Loma Vista Rd., Ste L.
Ventura, CA 93003
Phone (805) 642-2393

Other identifiers 3

IdentifierTypeStateIssuer
CGP075310MedicaidCA
G93182-01MedicaidCA
816565OtherCAUNITED CONCORDIA - UCCI

Other names 1

  • Ventura Orthodontic Group Doing business as

National Provider Directory

National Provider Directory

Locations

4080 Loma Vista Rd
Ste L
Ventura, CA 93003
Phone (805) 642-2393

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1295780724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 LOMA VISTA RD., STE L.",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-642-2393",
            "fax_number": "805-642-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LOMA VISTA RD., STE L.",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-642-2393",
            "fax_number": "805-642-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANO & ABBINK DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "ASANO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "805-642-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "18677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CGP075310",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93182-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA - UCCI",
            "identifier": "816565",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ventura Orthodontic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 24, 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.