Jason Antonio Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JASON ANTONIO DENTAL CORPORATION

Doing business as

Murrieta Modern Dentistry

Practice address

28080 Clinton Keith Rd Ste 100
Murrieta, CA 92563-4553

Phone

(951) 370-1529

Fax

(951) 384-2503

NPI assigned

Dec 21, 2021

Last updated

Dec 21, 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

Jason C. Antonio I, DDS

Title

Owner

Phone

(951) 370-1529

Specialties & licenses 1

Addresses

Other names 1

• MURRIETA MODERN DENTISTRY Doing business as

Locations

Practitioners 3

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.

• Charlene Thuy - Nhung Nguyen, DMD

  • General Practice Dentistry
  • Murrieta, CA
  • NPI 1326935420
  NPD
• Jillian Price, DDS

  • General Practice Dentistry
  • Murrieta, CA
  • NPI 1730871278
  NPD
• Mariam Alsaadi, DMD

  • Dentist
  • Murrieta, CA
  • NPI 1558051524
  NPD (past)

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1598425399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "951-370-1529",
            "fax_number": "951-384-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 CLINTON KEITH RD STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634553",
            "telephone_number": "951-370-1529",
            "fax_number": "951-384-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON ANTONIO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-370-1529",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MURRIETA MODERN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Mae Maramba Janssen, NP
• Ashley Jaramilla
• Deyanah Jarrar
• Sarah Rashell Jarvis
• Jason a. Black M.D., Inc. (Valley Internal Physicians)
• Vanessa Jasper
• Jaasiel Javier, RN
• Suhani Jayadev
• Jeff M. Prais, D.D.S., Inc.
• Tabitha Elaine Jeffreys

• Dentist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.