Individual provider Active NPI

Maria Amparo Romano, DDS

  • General Practice Dentistry
  • Redondo Beach, CA
National Provider Identifier
1023408457
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36422 Issued in CA
Practice address
2772 Artesia Blvd Ste 103
Redondo Beach, CA 90278-3370
Phone
(310) 370-1586
Fax
(310) 370-1588
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36422 CA Primary

Addresses

Primary practice location

2772 Artesia Blvd Ste 103
Redondo Beach, CA 90278-3370

Mailing address

2772 Artesia Blvd Ste 103
Redondo Beach, CA 90278-3370
Phone (310) 370-1586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528001872 CA Order and Referring Only - General PracticePractitioner - General PracticePractitioner - Oral Surgery 0244550440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36422CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Amparo Romano, DDS, Inc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1023408457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 ARTESIA BLVD STE 103",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783370",
            "telephone_number": "310-370-1586",
            "fax_number": "310-370-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 ARTESIA BLVD STE 103",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783370",
            "telephone_number": "310-370-1586",
            "fax_number": "310-370-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "MARIA",
        "middle_name": "AMPARO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.