Myrna Ramos Altavas, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57548 Issued in CA

Practice address

4100 Empire Drive
Suite 110
Bakersfield, CA 93309

Phone

(661) 246-4322

NPI assigned

Jan 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1851539977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 SKILES DRIVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-343-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 EMPIRE DRIVE",
            "address_2": "SUITE 110",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-246-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAVAS",
        "first_name": "MYRNA",
        "middle_name": "RAMOS",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE",
            "identifier": "57548",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita Altamirano
• Nikolette Isabel Altamirano
• Tania Altamirano
• Altavas Dental Group, Inc.
• Darryl Christian Altavas, NP
• Heidi C Alteneder
• Alternative Dental Hygiene of California
• Elizabeth Altmiller, PHARM.D.
• Sandi Lee Altmiller, PA-C
• William Thomas Altmiller, PHARMD, MBA

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, 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 Jun 14, 2011; 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.