Amanda Rae Kronquist DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64750 Issued in CA

Legal business name

AMANDA RAE KRONQUIST DDS INC

Practice address

1906 N Broadway
Santa Ana, CA 92706-2610

Phone

(714) 547-6671

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Rae Kronquist, D.D.S.

Title

President

Phone

(714) 547-6671

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1780053280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062610",
            "telephone_number": "714-547-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062610",
            "telephone_number": "714-547-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA RAE KRONQUIST DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "KRONQUIST",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-547-6671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Alvarran
• Gabriel Alves
• Diana G Alvizo, PAC
• Mary Renee Alvo, AMFT, APCC
• Adrian Amador Godoy
• Christopher Amann
• Heather R. Amante, FNP-C
• Amara Crandall Orthodontics, Inc.
• Merilin Amarillas
• Darlene Louisa Amaya-McDonald, LVN

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 Jul 23, 2020; 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.