NPIMap

Organization Active NPI

Maria Joely C. Caparas, DDS, Inc.

Doing business as Optimal Dental Care

  • General Practice Dentistry
  • Artesia, CA
National Provider Identifier
1013134006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47855 Issued in CA
Legal business name
MARIA JOELY C. CAPARAS, DDS, INC.
Doing business as
Optimal Dental Care
Practice address
11828 Artesia Blvd
Artesia, CA 90701-4003
Phone
(562) 860-1805
Fax
(562) 809-6882
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Joely Caballes Caparas, DDS
Title
President
Phone
(562) 860-1805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47855 CA Primary

Addresses

Primary practice location

11828 Artesia Blvd
Artesia, CA 90701-4003

Mailing address

11828 Artesia Blvd
Artesia, CA 90701-4003
Phone (562) 860-1805

Other identifiers 1

IdentifierTypeStateIssuer
G93272-01MedicaidCA

Other names 1

  • Optimal Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

11828 Artesia Blvd
Artesia, CA 90701
Phone (562) 860-1805

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013134006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11828 ARTESIA BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014003",
            "telephone_number": "562-860-1805",
            "fax_number": "562-809-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 ARTESIA BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014003",
            "telephone_number": "562-860-1805",
            "fax_number": "562-809-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA JOELY C. CAPARAS, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAPARAS",
        "authorized_official_first_name": "MARIA JOELY",
        "authorized_official_middle_name": "CABALLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-860-1805",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93272-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.