NPIMap

Organization Active NPI

Marleen M. Masuoka, DDS

  • General Practice Dentistry
  • Fair Oaks, CA
National Provider Identifier
1043615933
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41279 Issued in CA
Legal business name
MARLEEN M. MASUOKA, DDS
Practice address
8080 Madison Avenue
Suite 202
Fair Oaks, CA 95628-3736
Phone
(916) 966-9900
Fax
(888) 647-2117
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Marleen M. Masuoka, DDSNPI 1528285434
Title
Business Owner
Phone
(916) 966-9900

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41279 CA Primary

Addresses

Primary practice location

8080 Madison Avenue
Suite 202
Fair Oaks, CA 95628-3736

Mailing address

8080 Madison Avenue
Suite 202
Fair Oaks, CA 95628-3736
Phone (916) 966-9900

National Provider Directory

National Provider Directory

Locations

8080 Madison Ave
Ste 202
Fair Oaks, CA 95628
Phone (916) 966-9900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1043615933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 MADISON AVENUE",
            "address_2": "SUITE 202",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283736",
            "telephone_number": "916-966-9900",
            "fax_number": "888-647-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MADISON AVENUE",
            "address_2": "SUITE 202",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283736",
            "telephone_number": "916-966-9900",
            "fax_number": "888-647-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLEEN M. MASUOKA, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "MASUOKA",
        "authorized_official_first_name": "MARLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "916-966-9900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.