NPIMap

Organization Active NPI

Paul Athanasius DDS Inc

Doing business as Genuine Family Dentistry

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1336526623
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59641 Issued in CA
Legal business name
PAUL ATHANASIUS DDS INC
Doing business as
Genuine Family Dentistry
Practice address
1122 E Lincoln Ave
Suite 115
Orange, CA 92865-1907
Phone
(714) 282-9131
NPI assigned
May 6, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Dr. Paul Athanasius, DDSNPI 1942538160
Title
President
Phone
(714) 282-9131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59641 CA Primary

Addresses

Primary practice location

1122 E Lincoln Ave
Suite 115
Orange, CA 92865-1907

Mailing address

1122 E Lincoln Ave
Suite 115
Orange, CA 92865-1907
Phone (714) 282-9131

Other names 1

  • Genuine Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1122 E Lincoln Ave
Ste 115
Orange, CA 92865
Phone (714) 282-9131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1336526623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 115",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-282-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 115",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-282-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL ATHANASIUS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "ATHANASIUS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-282-9131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genuine Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.