Richard Dale Katnik, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20884 Issued in CA

Practice address

7319 Clairemont Mesa Blvd
San Diego, CA 92111-1101

Phone

(858) 569-9651

Fax

(858) 576-1884

NPI assigned

Feb 6, 2013

Sex

Male

Sole proprietor

No

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)

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.

• Richard D Katnik DDS Inc

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1457456741
  NPD (past) Authorized official

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1447599766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111101",
            "telephone_number": "858-569-9651",
            "fax_number": "858-576-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111101",
            "telephone_number": "858-569-9651",
            "fax_number": "858-576-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATNIK",
        "first_name": "RICHARD",
        "middle_name": "DALE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn de Bruin Family Therapy and Training Inc.
• Kathryn Johnson
• David Jonathan Katibian, MD
• Sarah Joelle Katje
• William Michael Katkov, LCSW
• Kazuhiro Kato, DDS
• Diya Prashant Katre
• Katrina E Woodhall, MD and Associates, a Professional Medical
• Svetlana Katsev, M.D.
• Theodoros Fotiou Katsivas, MD

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Feb 6, 2013; 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.