NPIMap

Organization Active NPI

Maria V Santos, DMD, Inc

  • General Practice Dentistry
  • Murrieta, CA
National Provider Identifier
1104149038
Registry record updated Mar 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39078 Issued in CA
Legal business name
MARIA V SANTOS, DMD, INC
Practice address
24910 Las Brisas Rd
Suite 104
Murrieta, CA 92562-4010
Phone
(951) 445-4407
Fax
(951) 445-4421
NPI assigned
Mar 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2010

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

Authorized official

Name
Dr. Maria Veneracion Santos, DMDNPI 1184643702
Title
Dentist
Phone
(951) 445-4407

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 39078 CA Primary

Addresses

Primary practice location

24910 Las Brisas Rd
Suite 104
Murrieta, CA 92562-4010

Mailing address

1103 W Orangethorpe Ave
Fullerton, CA 92833-4735
Phone (714) 871-8093

Other identifiers 1

IdentifierTypeStateIssuer
B3907802OtherCADENTI-CAL

Other names 1

  • Victory Dental Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maria V Santos DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24910 Las Brisas Rd
Ste 104
Murrieta, CA 92562
Phone (951) 445-4407

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": "1267833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267833600000",
    "number": "1104149038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334735",
            "telephone_number": "714-871-8093",
            "fax_number": "714-871-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24910 LAS BRISAS RD",
            "address_2": "SUITE 104",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624010",
            "telephone_number": "951-445-4407",
            "fax_number": "951-445-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA V SANTOS, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-06",
        "last_updated": "2010-03-06",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VENERACION",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-445-4407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B3907802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2010; 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.