Marilyn H Sy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29184 Issued in CA

Practice address

1133 El Camino Real
Suite 5
South San Francisco, CA 94080-3288

Phone

(650) 588-8848

Fax

(650) 244-9284

NPI assigned

Mar 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marilyn Hu Sy Chong Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pure Smile Dental Group

  • Dental Clinic/Center
  • South San Francisco, CA
  • NPI 1609141274
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1043586381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 EL CAMINO REAL",
            "address_2": "SUITE 5",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803288",
            "telephone_number": "650-588-8848",
            "fax_number": "650-244-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EL CAMINO REAL",
            "address_2": "SUITE 5",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803288",
            "telephone_number": "650-588-8848",
            "fax_number": "650-244-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "MARILYN",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "29184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "CHONG",
            "middle_name": "HU SY",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Myint Swe, DDS
• Patricia Sweeney, NP
• Cyndy Sweet
• Betty Ranit Sy-Judilla, RPH
• Jan Sy
• Anu Syal, MD
• Susan Szeto, PHARM D
• Laura Tachine
• Eugene Vincent Taguinod, RCP, RRT
• Robert Tajanlangit

• Dentist in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.