Individual provider Active NPI

Maria Lovell Degoma Denolo-Chavez, D.M.D.

  • General Practice Dentistry
  • Buena Park, CA
National Provider Identifier
1043358211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40573 Issued in CA
Practice address
8615 Knott Ave
Suite 1
Buena Park, CA 90620-3841
Phone
(714) 995-9301
NPI assigned
Feb 1, 2007
Sex
Female
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
General Practice Dentistry 1223G0001X 40573 CA Primary

Addresses

Primary practice location

8615 Knott Ave
Suite 1
Buena Park, CA 90620-3841

Mailing address

8615 Knott Ave
Suite 1
Buena Park, CA 90620-3841
Phone (714) 995-9301

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043358211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 KNOTT AVE",
            "address_2": "SUITE 1",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203841",
            "telephone_number": "714-995-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 KNOTT AVE",
            "address_2": "SUITE 1",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203841",
            "telephone_number": "714-995-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENOLO-CHAVEZ",
        "first_name": "MARIA LOVELL",
        "middle_name": "DEGOMA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, 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.