Marilyn B Jespersen, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

29806 Issued in CA

Practice address

10430 S de Anza Blvd Ste 290
Cupertino, CA 95014-3025

Phone

(408) 446-5789

Fax

(408) 446-1447

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003938242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD STE 290",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143025",
            "telephone_number": "408-446-5789",
            "fax_number": "408-446-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD STE 290",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143025",
            "telephone_number": "408-446-5789",
            "fax_number": "408-446-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESPERSEN",
        "first_name": "MARILYN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "29806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M. & Judith S. Parsons (Holter Information Service)
• Shawn Jarman, P.T.
• Anjana Jayaram, SLP
• Manonmani Jayasekaran
• Bruce R Jespersen, DDS
• Jia Yi Health Care Inc
• Ariana Jimenez
• Jing Cheng Acupuncture Clinic
• JJB Spa Corp (The Sense Head & Scalp Spa)
• John KS Tong, DDS, Inc.

• Periodontics in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.