Jonathan N. Kristianto, DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CA37441 Issued in CA

Legal business name

JONATHAN N. KRISTIANTO, DDS INC.

Practice address

1556 N Main St
Salinas, CA 93906-5101

Phone

(831) 444-0882

NPI assigned

Mar 21, 2008

Organization subpart

No

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

Authorized official

Name

Tina Kristianto

Title

Manager

Phone

(831) 444-0882

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Kristianto, DDS

  • General Practice Dentistry
  • Salinas, CA
  • NPI 1851443881
  NPD (past)

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1679744239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065101",
            "telephone_number": "831-444-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065101",
            "telephone_number": "831-444-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN N. KRISTIANTO, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "KRISTIANTO",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "831-444-0882"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA37441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B37441-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reginald Johnson, SWIII
• Robert P Johnson, RPH
• Steven G Johnson, M.D
• Sarah Jane Johnsonford
• Leslie Johnston
• Deborah Jones, N.N.P.
• Imelda Jones
• James Jones, RN
• Jessica Jones
• Kenneth A Jones Jr., MD

• General Practice Dentistry in Salinas, CA
• Providers in Salinas, CA by specialty
• General Practice Dentistry in California

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