Individual provider Active NPI

Alexander G. Namikas, D.D.S.

  • General Practice Dentistry
  • Ventura, CA
National Provider Identifier
1568533776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CA27662 Issued in CA
Practice address
3555 Loma Vista Rd
Suite 210
Ventura, CA 93003-3161
Phone
(805) 653-1776
Fax
(805) 653-1782
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CA27662 CA Primary

Addresses

Primary practice location

3555 Loma Vista Rd
Suite 210
Ventura, CA 93003-3161

Mailing address

6032 Bridgeview Dr
Ventura, CA 93003-1126
Phone (805) 654-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CA27662CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568533776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 BRIDGEVIEW DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031126",
            "telephone_number": "805-654-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD",
            "address_2": "SUITE 210",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-653-1776",
            "fax_number": "805-653-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMIKAS",
        "first_name": "ALEXANDER",
        "middle_name": "G.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA27662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.