RICHARD ANTHONY DDS MS A PROF. CORP. NPI 1790883023

NPI Information

  • NPI: 1790883023
  • Provider Name: RICHARD ANTHONY, DDS MS, A PROF. CORP.
  • Classification: Dentist - 1223X0400X
  • Specialization: Orthodontics and Dentofacial Orthopedics
  • Entity Type: Organization
  • Doing Business As: BLACKHAWK ORTHODONTICS, INC
  • Address: 4165 BLACKHAWK PLAZA CIR
    SUITE 260
    DANVILLE, CA
    ZIP 94506
  • Phone: (925) 736-3311

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NPI Details

RICHARD ANTHONY, DDS MS, A PROF. CORP. is an orthodontics and dentofacial orthopedics dentist in Danville, CA. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. RICHARD ANTHONY, DDS MS, A PROF. CORP. NPI is 1790883023. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Blackhawk Orthodontics, Inc.

The provider's business location address is:

4165 BLACKHAWK PLAZA CIR
SUITE 260
DANVILLE, CA
ZIP 94506-904
Phone: (925) 736-3311
Fax: (925) 736-3313

The provider's authorized official is Richard J Anthony .
The authorized official title is President and has the following contact phone number (925) 736-3311.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics34025CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1180515OTHERCALIFORNIACIGNA PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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