Active NPI
Anita Tomkoria, DDS
- Dentist
- Orange, CA
National Provider Identifier
1912112681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48390
- Practice address
- 1500 E Katella Ave
Ste O
Orange, CA 92867-5008 - Phone
- (714) 639-3200
- Fax
- (714) 602-7648
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48390 | CA | Primary |
Addresses
Primary practice location
1500 E Katella Ave
Ste O
Orange, CA 92867-5008
Mailing address
1500 E Katella Ave
Ste O
Orange, CA 92867-5008
Phone (714) 639-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150512003094 | CA | Order and Referring Only - Other (Non-Physician) | 0244550333 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48390 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1912112681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E KATELLA AVE",
"address_2": "STE O",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675008",
"telephone_number": "714-639-3200",
"fax_number": "714-602-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E KATELLA AVE",
"address_2": "STE O",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675008",
"telephone_number": "714-639-3200",
"fax_number": "714-602-7648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMKORIA",
"first_name": "ANITA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.