Matin D.D.S, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

43199 Issued in CA

Legal business name

MATIN D.D.S, INC.

Doing business as

Santa Fe Smiles Dental Office

Practice address

365 S Rancho Santa Fe Rd
Ste 201
San Marcos, CA 92078-2338

Phone

(760) 471-6011

Fax

(760) 471-6010

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

MATIN D.D.S, INC.As reported in NPPES

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

Authorized official

Name

Gulalai Matin, DDS

Title

Dentist

Phone

(760) 471-6011

Specialties & licenses 1

Addresses

Other names 1

• Santa Fe Smiles Dental Office Doing business as

Part of

Matin DDS Inc

Locations

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1063826139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S RANCHO SANTA FE RD",
            "address_2": "STE 201",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782338",
            "telephone_number": "760-471-6011",
            "fax_number": "760-471-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 S RANCHO SANTA FE RD",
            "address_2": "STE 201",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782338",
            "telephone_number": "760-471-6011",
            "fax_number": "760-471-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATIN D.D.S, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATIN D.D.S, INC.",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "MATIN",
        "authorized_official_first_name": "GULALAI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-471-6011",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Smiles Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neika Elaine Maryn, OTR/L
• Cheri Jan Mason, LCSW
• Sharon Linda Massoth, LCSW
• William Robert Mathias, PA-C
• Julie Matias, D.O.
• James Joseph Matracia, M.A. MFT
• Lisa Mattey, RADT 1
• Matthew Weber DO Inc
• Mauser Jeppesen Mauser
• Dale Michael Mauser, DC

• Dentist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.