Organization Active NPI

Richard D Katnik DDS Inc

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1457456741
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20824 Issued in CA
Legal business name
RICHARD D KATNIK DDS INC
Practice address
7319 Clairemount Mesa Blvd
San Diego, CA 92111
Phone
(858) 569-9651
Fax
(858) 576-1884
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Richard Dale Katnik, DDSNPI 1447599766
Title
President
Phone
(858) 569-9651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20824 CA Primary

Addresses

Primary practice location

7319 Clairemount Mesa Blvd
San Diego, CA 92111

Mailing address

7319 Clairemount Mesa Blvd
San Diego, CA 92111
Phone (858) 569-9651

National Provider Directory

National Provider Directory

Locations

7319 Clairemont Mesa Blvd
San Diego, CA 92111
Phone (858) 569-9651

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1457456741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 CLAIREMOUNT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "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 CLAIREMOUNT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-569-9651",
            "fax_number": "858-576-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D KATNIK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "KATNIK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-569-9651",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

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