Organization Active NPI

Alex Rabinovich DDS MD and Alex Antipov DDS Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Sacramento, CA
National Provider Identifier
1447570924
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
48850 Issued in CA
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

Updated by the provider on Jun 7, 2010

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.