Organization Active NPI

Antaki Hourany DDS Inc

Doing business as Coast Dental Practice

  • General Practice Dentistry
  • Santa Maria, CA
National Provider Identifier
1649357880
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38024 Issued in CA
Legal business name
ANTAKI HOURANY DDS INC
Doing business as
Coast Dental Practice
Practice address
1304 S Miller St
Santa Maria, CA 93454-6904
Phone
(805) 352-1188
Fax
(805) 352-2078
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Ghassan R Antaki, DDS
Title
Owner
Phone
(805) 352-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 38024 CA Primary

Addresses

Primary practice location

1304 S Miller St
Santa Maria, CA 93454-6904

Mailing address

1304 S Miller St
Santa Maria, CA 93454-6904
Phone (805) 352-1188

Other names 1

  • Coast Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

1304 S Miller St
Santa Maria, CA 93454
Phone (805) 352-1188

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1649357880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 S MILLER ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546904",
            "telephone_number": "805-352-1188",
            "fax_number": "805-352-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 S MILLER ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546904",
            "telephone_number": "805-352-1188",
            "fax_number": "805-352-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTAKI HOURANY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "ANTAKI",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-352-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.