Active NPI
Maithili Bapat Marathe, D.D.S.
- Dentist
- Long Beach, CA
National Provider Identifier
1043663479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100336
- Practice address
- 6437 E Pacific Coast Hwy
Unit a-6
Long Beach, CA 90803-4201 - Phone
- (562) 735-3623
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100336 | CA | Primary |
Addresses
Primary practice location
6437 E Pacific Coast Hwy
Unit a-6
Long Beach, CA 90803-4201
Mailing address
28 Country Ridge Rd
Pomona, CA 91766-4815
Phone (909) 374-1731
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170228000518 | CA | Order and Referring Only - Dentist | 6608150230 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100336 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1043663479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 COUNTRY RIDGE RD",
"city": "POMONA",
"state": "CA",
"postal_code": "917664815",
"telephone_number": "909-374-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6437 E PACIFIC COAST HWY",
"address_2": "UNIT A-6",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908034201",
"telephone_number": "562-735-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARATHE",
"first_name": "MAITHILI",
"middle_name": "BAPAT",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.