Active NPI
Alex Rabinovich DDS MD and Alex Antipov DDS Inc.
- Oral and Maxillofacial Surgery (Dentist)
- Sacramento, CA
National Provider Identifier
1447570924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 48850
- Legal business name
- ALEX RABINOVICH DDS MD AND ALEX ANTIPOV DDS INC.
- Practice address
- 1580 Howe Ave
Suite a
Sacramento, CA 95825-3358 - Phone
- (916) 929-7667
- NPI assigned
- Jun 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander Rabinovich, D.D.S., M.D.
- Title
- President
- Phone
- (646) 456-1146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 48850 | CA | Primary |
Addresses
Primary practice location
1580 Howe Ave
Suite a
Sacramento, CA 95825-3358
Mailing address
3504 Bering Dr
San Bruno, CA 94066-4575
Phone (646) 456-1146
Other names 1
- Precision Oral and Maxillofacial Surgery
National Provider Directory
National Provider DirectoryLocations
1580 Howe Ave
Ste A
Sacramento, CA 95825
Phone (916) 829-4974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275868800000",
"number": "1447570924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 BERING DR",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940664575",
"telephone_number": "646-456-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 HOWE AVE",
"address_2": "SUITE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958253358",
"telephone_number": "916-929-7667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEX RABINOVICH DDS MD AND ALEX ANTIPOV DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-07",
"last_updated": "2010-06-07",
"status": "A",
"authorized_official_last_name": "RABINOVICH",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-456-1146",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., M.D."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "48850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Precision Oral and Maxillofacial Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.