Ritzau Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RITZAU DENTAL CORPORATION

Doing business as

Shoreline Dental Studio

Practice address

26302 La Paz Rd Ste 108
Mission Viejo, CA 92691-5327

Phone

(949) 498-4110

NPI assigned

Jan 29, 2021

Last updated

Jan 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Jane Holton

Title

Executive Director

Phone

(949) 498-4110

Specialties & licenses 1

Addresses

Other names 1

• Shoreline Dental Studio Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Leilani Ritzau, DDS

  • General Practice Dentistry
  • San Clemente, CA
  • NPI 1306150818
  NPD

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1487245726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD STE 108",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915327",
            "telephone_number": "949-498-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD STE 108",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915327",
            "telephone_number": "949-498-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITZAU DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-498-4110"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Lynn Riley, LMT, CMT
• Debra Dee Riley, MFT
• Jennifer Rene Riley, LMFT
• Jessie Rinaldi, AUD
• Michael Steven Ritter, M.D.
• Anthony Rivera, MA
• Reyna Carolina Rivera
• Roar Associates Inc.
• Caitlin Robbins
• Robert a Milner DDS Dental Corporation

• General Practice Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, 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 Jan 29, 2021; 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.