Jonathan N. Kristianto, DDS INC.
Dentist, General Practice in Salinas, CA. Organization (NPI-2).
NPI number1679744239
StatusActive
Last updated in NPPESMar 21, 2008
Details
- NPI
- 1679744239
- Entity type
- Organization (NPI-2)
- Legal business name
- Jonathan N. Kristianto, DDS INC.
- Organization subpart
- No
- Enumeration date
- Mar 21, 2008
- Last updated
- Mar 21, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | CA37441 | CA | Yes |
Practice location
1556 N Main StSalinas, CA 93906-5101
Phone 831-444-0882
Mailing address
1556 N Main StSalinas, CA 93906-5101
Phone 831-444-0882
Authorized official
Tina Kristianto
Manager
8314440882
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