KRISTEN RITZAU, D.D.S., INC. (NPI# 1548860414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548860414 |
| Entity Type | Organization |
| Organization Name | KRISTEN RITZAU, D.D.S., INC. |
| Practice Address |
122 Avenida Cabrillo San Clemente CA 92672 |
| Practice Telephone | 9494984110 |
| Practice Fax Number | 9494988657 |
| Mailing Telephone | 9494984110 |
| Mailing Fax Number | 9494988657 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | CORY RITZAU (C.E.O.) |
| Authorized Official Telephone | 9494984110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Shoreline Dental Studio | Doing Business As Name - Organization |
| Street Address |
122 AVENIDA CABRILLO |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841391018 | Jack Holland Boatman | Dentist | 122 Avenida Cabrillo, San Clemente, CA 92672-4039 | 2006-09-26 |
| 1992180608 | Kristen Ritzau D.d.s., Inc. | Dentist | 122 Avenida Cabrillo, San Clemente, CA 92672-4039 | 2015-07-23 |
| 1043640915 | Kristen Ritzau Dds, Inc. | Clinic/Center | 122 Avenida Cabrillo, San Clemente, CA 92672-4039 | 2013-11-13 |
| 1982965422 | Colby Margaux Livingston | Dentist | 122 Avenida Cabrillo, San Clemente, CA 92672-4039 | 2012-05-31 |
| 1306150818 | Kristen Leilani Ritzau | Dentist | 122 Avenida Cabrillo, San Clemente, CA 92672-4039 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477114411 | Castillo Dental Inc. | Dentist | 655 Camino De Los Mares Ste 115, San Clemente, CA 92673-2809 | 2019-06-20 |
| 1356565477 | Brian Douglas Benjamin | Dentist | 2123 Avenida Espada, San Clemente, CA 92673-5608 | 2007-04-12 |
| 1386867372 | Ronald Trosper Dds Inc | Dentist | 145 Avenida Del Mar, San Clemente, CA 92672 | 2007-04-10 |
| 1164551800 | Ninousha Basti | Dentist | 150 Avendia Del Mar, Ste. C, San Clemente, CA 92672 | 2007-03-05 |
| 1194853598 | William Robert Dapper | Dentist | 128 W El Portal, San Clemente, CA 92672-4632 | 2007-02-28 |
| 1891820791 | Dusanka Petkovic | Dentist | 106 S Ola Vista, San Clemente, CA 92672 | 2007-02-22 |
| 1689713547 | Sean R Thompson | Dentist | 905 Calle Amanecer Ste 265, San Clemente, CA 92673-6277 | 2007-02-06 |
| 1619027893 | Arash Asil | Dentist | 390 Camino De Estrella, San Clemente, CA 92672-4859 | 2007-01-11 |
| 1154471415 | Wallace Thune | Dentist | 181 Avenida Vaquero Ste B, San Clemente, CA 92672-3658 | 2007-01-11 |
| 1275695041 | Lawrence Edward Eckl II | Dentist | 130 W El Portal, San Clemente, CA 92672-4632 | 2006-12-15 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
Please comment or provide details below to improve the information on KRISTEN RITZAU, D.D.S., INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.