Individual provider Active NPI

Marvin Martin Kripps, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Escondido, CA
National Provider Identifier
1013940410
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
A20485 Issued in CA
Practice address
225 E 2ND Ave
Suite#202
Escondido, CA 92025-4212
Phone
(760) 747-5993
Fax
(760) 747-3123
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X A20485 CA Primary

Addresses

Primary practice location

225 E 2ND Ave
Suite#202
Escondido, CA 92025-4212

Mailing address

243 S Escondido Blvd # 324 PMB #
Escondido, CA 92025-4116
Phone (760) 747-5993

Other names 1

  • Dr. Marvin Martin Kripps Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A20485CAMDOtolaryngology/Facial Plastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013940410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 S ESCONDIDO BLVD # 324 PMB #",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254116",
            "telephone_number": "760-747-5993",
            "fax_number": "760-747-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 2ND AVE",
            "address_2": "SUITE#202",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254212",
            "telephone_number": "760-747-5993",
            "fax_number": "760-747-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIPPS",
        "first_name": "MARVIN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A20485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "KRIPPS",
            "middle_name": "MARTIN",
            "prefix": "DR.",
            "credential": "MARVIN KRIPPS, M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • 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.