Christina Marie Fantino, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43002 Issued in CA

Practice address

210 Oak Meadow Dr
Los Gatos, CA 95032-4407

Phone

(408) 395-1121

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Robert Dyer DDS & Christina Fantino DDS Dba Oak Meadow Dental Center

  • General Practice Dentistry
  • Los Gatos, CA
  • NPI 1457474371
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407079692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OAK MEADOW DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324407",
            "telephone_number": "408-395-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 OAK MEADOW DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324407",
            "telephone_number": "408-395-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTINO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ezeama, PHARMD
• Joshua Faeh
• Mary Frances Fainstat
• Sarah Fairlight, LM
• Family Therapy Center, a Professional Licensed Clinical Social Worker
• Talia Farfan
• Marin Faria
• Sara Farr, M.D.
• Justin Farrell
• Hasti Saedi Fashandi, N.D.

• General Practice Dentistry in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.