Michelle a Demarta DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

License

37649 Issued in CA

Legal business name

MICHELLE A DEMARTA DMD INC

Practice address

703 Welch Road
Suite D6
Palo Alto, CA 94304

Phone

(650) 321-7270

Fax

(650) 322-1500

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Annette Demarta, DMDNPI 1841344355

Title

Doctor Owner

Phone

(650) 321-7270

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michelle Annette Demarta, DMD

  • Dentist
  • Palo Alto, CA
  • NPI 1841344355
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073667580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 WELCH ROAD",
            "address_2": "SUITE D6",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-321-7270",
            "fax_number": "650-322-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 WELCH ROAD",
            "address_2": "SUITE D6",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-321-7270",
            "fax_number": "650-322-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A DEMARTA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMARTA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DOCTOR  OWNER",
        "authorized_official_telephone_number": "650-321-7270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.