Organization Active NPI

Ann Malotky, DDS., Inc.

  • Dentist
  • Redding, CA
National Provider Identifier
1629467113
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
032442 Issued in CA
Legal business name
ANN MALOTKY, DDS., INC.
Practice address
1800 Buenaventura Blvd
Suite 100
Redding, CA 96001-3700
Phone
(530) 243-8806
Fax
(530) 638-8866
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Ann Malotky, DDS
Title
Dentis
Phone
(530) 243-8806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 032442 CA Primary

Addresses

Primary practice location

1800 Buenaventura Blvd
Suite 100
Redding, CA 96001-3700

Mailing address

1800 Buenaventura Blvd
Suite 100
Redding, CA 96001-3700
Phone (530) 243-8806

National Provider Directory

National Provider Directory

Locations

1800 Buenaventura Blvd
Ste 100
Redding, CA 96001
Phone (530) 243-8806

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1629467113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013700",
            "telephone_number": "530-243-8806",
            "fax_number": "530-638-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013700",
            "telephone_number": "530-243-8806",
            "fax_number": "530-638-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN MALOTKY, DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "MALOTKY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DENTIS",
        "authorized_official_telephone_number": "530-243-8806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "032442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 21, 2015; 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.