David R. Hantke, M.D., Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G48701 Issued in CA

Legal business name

DAVID R. HANTKE, M.D., INC.

Practice address

2807 Loma Vista Rd
Ste 103
Ventura, CA 93003-1500

Phone

(805) 648-7222

Fax

(805) 648-7235

NPI assigned

Aug 11, 2005

Last updated

Jul 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David R HantkeNPI 1982823688

Title

President

Phone

(805) 648-7222

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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.

• David Randall Hantke, M.D.

  • Otolaryngology Physician
  • Ventura, CA
  • NPI 1982823688
  Authorized official Same address or phone

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1356343172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 LOMA VISTA RD",
            "address_2": "STE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031500",
            "telephone_number": "805-648-7222",
            "fax_number": "805-648-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 LOMA VISTA RD",
            "address_2": "STE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031500",
            "telephone_number": "805-648-7222",
            "fax_number": "805-648-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. HANTKE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "HANTKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-648-7222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G48701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "WG48701C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040014777",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "06B6953",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G487010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G487010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE NUMBER",
            "identifier": "DH0826",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G48701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Daucett, D.O.
• Aashish Daulat
• Mary Davey
• David L. Westra, MD, a Professional Corporation
• David M. Satnick, DMD
• Aimee Katherine Grush David
• Ashlynn David
• Jacob David, M.D.
• Kaya David
• Rachel David

• Otolaryngology Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.