Individual provider Active NPI

Antonette Price-Dolman, SLPA

  • Speech-Language Assistant
  • Anaheim, CA
National Provider Identifier
1881092880
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
2098 Issued in CA
Practice address
140 S Chaparral CT
110
Anaheim, CA 92808-2239
Phone
(714) 282-8852
NPI assigned
Dec 8, 2014
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 2098 CA Primary

Addresses

Primary practice location

140 S Chaparral CT
110
Anaheim, CA 92808-2239

Mailing address

140 S Chaparral CT
110
Anaheim, CA 92808-2239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2098CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1881092880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S CHAPARRAL CT",
            "address_2": "110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S CHAPARRAL CT",
            "address_2": "110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082239",
            "telephone_number": "714-282-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE-DOLMAN",
        "first_name": "ANTONETTE",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.