Individual provider Active NPI

Ana Raluca Platon, DDS

  • Dentist
  • Hesperia, CA
National Provider Identifier
1962520452
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50699 Issued in CA
Practice address
16455 Main St
Ste. 17
Hesperia, CA 92345-3554
Phone
(760) 244-6077
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50699 CA Primary

Addresses

Primary practice location

16455 Main St
Ste. 17
Hesperia, CA 92345-3554

Mailing address

242 E Fern Ave.
Apt. 102
Redlands, CA 92373-6059
Phone (909) 798-3025

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220002315 CA Order and Referring Only - DentistPractitioner - Dentist 2466733944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Dental Corporation PastSince Jul 4, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1962520452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E FERN AVE.",
            "address_2": "APT. 102",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736059",
            "telephone_number": "909-798-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 MAIN ST",
            "address_2": "STE. 17",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453554",
            "telephone_number": "760-244-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATON",
        "first_name": "ANA",
        "middle_name": "RALUCA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.