Organization Active NPI

Carlsbad Dental Arts

  • General Practice Dentistry
  • Carlsbad, CA
National Provider Identifier
1003211327
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43466 Issued in CA
Legal business name
CARLSBAD DENTAL ARTS
Practice address
2521 Palomar Airport Rd
Suite 102
Carlsbad, CA 92011-1511
Phone
(760) 930-4300
Fax
(760) 930-4302
NPI assigned
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Mr. John Maroon, D.D.S
Title
Dentist
Phone
(760) 930-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43466 CA Primary

Addresses

Primary practice location

2521 Palomar Airport Rd
Suite 102
Carlsbad, CA 92011-1511

Mailing address

2521 Palomar Airport Rd
Suite 102
Carlsbad, CA 92011-1511
Phone (760) 930-4300

Other names 1

  • Maroon Dental Group Other name

National Provider Directory

National Provider Directory

Locations

2521 Palomar Airport Rd
Ste 102
Carlsbad, CA 92011
Phone (619) 504-0274

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1003211327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 PALOMAR AIRPORT RD",
            "address_2": "SUITE 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111511",
            "telephone_number": "760-930-4300",
            "fax_number": "760-930-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 PALOMAR AIRPORT RD",
            "address_2": "SUITE 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111511",
            "telephone_number": "760-930-4300",
            "fax_number": "760-930-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "MAROON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-930-4300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maroon Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.