J Maroon DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

40671 Issued in CA

Legal business name

J MAROON DDS INC

Doing business as

Encinitas Dental Center

Practice address

257 N El Camino Real Ste B
Encinitas, CA 92024-5365

Phone

(760) 944-7600

Fax

(760) 944-7610

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John Maroon, D.D.S

Title

Owner/Doctor

Phone

(760) 944-7600

Specialties & licenses 1

Addresses

Other names 1

• Encinitas Dental Center Doing business as

Locations

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1063801025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 N EL CAMINO REAL STE B",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245365",
            "telephone_number": "760-944-7600",
            "fax_number": "760-944-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 N EL CAMINO REAL STE B",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245365",
            "telephone_number": "760-944-7600",
            "fax_number": "760-944-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MAROON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "MAROON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "760-944-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encinitas Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Kyle Irvine, DPT
• Isabel David, DDS, Apc
• Affaf Ismail, D.D.S.
• Srinivas Iyengar, MD
• Katherine Izzo-Andujar, FNP
• J Pace MD a Professional Corporation
• J Roland Fleck (Encinitas Psychological Services)
• J Schaefer DDS Inc (Beam Orthodontics)
• J. Patrick Davis & Matthew Davis (Davis Pediatric Dentistry)
• Jack Mawer (Encinitas Chiropractic)

• Dentist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.