Active NPI
Karen Avantino DDS Pro Corp
- Dentist
- Redding, CA
National Provider Identifier
1609039452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43312
- Legal business name
- KAREN AVANTINO DDS PRO CORP
- Practice address
- 2421 Hartnell
Redding, CA 96002 - Phone
- (530) 222-6939
- NPI assigned
- Jul 2, 2008
- Last updated
- Jul 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen Kay Avantino, DDS
- Title
- Owner
- Phone
- (530) 222-6939
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 43312 | CA | Primary |
Addresses
Primary practice location
2421 Hartnell
Redding, CA 96002
Mailing address
2421 Hartnell Ave
Redding, CA 96002-2340
Phone (530) 222-6939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Other | CA | DENTIST |
Other names 1
- none
National Provider Directory
National Provider DirectoryLocations
2421 Hartnell Ave
Redding, CA 96002
Phone (209) 527-1995
Practitioners & affiliated clinicians
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.
-
- Dentist
- Redding, CA
- NPI 1538360631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1609039452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 HARTNELL AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960022340",
"telephone_number": "530-222-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 HARTNELL",
"city": "REDDING",
"state": "CA",
"postal_code": "96002",
"telephone_number": "530-222-6939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN AVANTINO DDS PRO CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "AVANTINO",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-222-6939",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.