Paul Athanasius DDS, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

59641 Issued in CA

Legal business name

PAUL ATHANASIUS DDS, INC.

Doing business as

Genuine Family Dentistry

Practice address

1122 E Lincoln Ave
Suite 115
Orange, CA 92865-1907

Phone

(714) 282-9131

Fax

(714) 282-9134

NPI assigned

Dec 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Paul Athanasius, D.D.S.NPI 1942538160

Title

Owner

Phone

(714) 282-9131

Specialties & licenses 1

Addresses

Other names 1

• Genuine Family Dentistry Doing business as

Practitioners 1

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

• Paul Athanasius, D.D.S

  • General Practice Dentistry
  • Orange, CA
  • NPI 1942538160
  NPD Authorized official

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387843200000",
    "number": "1801217542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 115",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-282-9131",
            "fax_number": "714-282-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 115",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-282-9131",
            "fax_number": "714-282-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL ATHANASIUS DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-24",
        "last_updated": "2013-12-24",
        "status": "A",
        "authorized_official_last_name": "ATHANASIUS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-282-9131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "59641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genuine Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valarie Patterson, LAADC
• Jovan Antonio Pattillo
• Jonathan Paturzo
• Paul a. Beck MD a Medical Corporation
• Paul Athanasius DDS Inc (Genuine Family Dentistry)
• Paul N T Nguyen DDS Inc
• Naquita Lynae Paul, RN
• Barry Ross Paull, M.D.
• Nancy Ostos Paulsen
• Karine Pauzuolis, RN, BSN, MSN, CRNA

• Point of Service in Orange, CA
• Providers in Orange, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; 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.