Organization Active NPI

Alex Marose DDS Inc.

Doing business as Alex Marose DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • La Puente, CA
National Provider Identifier
1013537604
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ALEX MAROSE DDS INC.
Doing business as
Alex Marose DDS
Marose Family Dental
Practice address
1855 N Hacienda Blvd
La Puente, CA 91744-1125
Phone
(626) 699-6115
NPI assigned
Apr 23, 2020
Last updated
May 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Alexander V MaroseNPI 1083966972
Title
Owner
Phone
(949) 874-0025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1855 N Hacienda Blvd
La Puente, CA 91744-1125

Mailing address

1855 N Hacienda Blvd
La Puente, CA 91744-1125
Phone (626) 699-6115

Other names 2

  • Alex Marose DDS Doing business as
  • Marose Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1855 N Hacienda Blvd
La Puente, CA 91744
Phone (626) 699-6115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1013537604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441125",
            "telephone_number": "626-699-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441125",
            "telephone_number": "626-699-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX MAROSE DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "MAROSE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-874-0025"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alex Marose DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marose Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.