NPIMap

Organization Active NPI

Marissa Faeldan-Suarez, DDS, Inc.

  • Pediatric Dentistry
  • City of Industry, CA
National Provider Identifier
1124457668
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
58944 Issued in CA
Legal business name
MARISSA FAELDAN-SUAREZ, DDS, INC.
Practice address
16018 Amar Rd
City of Industry, CA 91744-2203
Phone
(626) 968-7525
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Marissa Faeldan-Suarez, DDSNPI 1487941340
Title
Dentist/Owner
Phone
(626) 968-7525

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 58944 CA Primary

Addresses

Primary practice location

16018 Amar Rd
City of Industry, CA 91744-2203

Mailing address

16018 Amar Rd
City of Industry, CA 91744-2203
Phone (626) 968-7525

Other names 1

  • Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marissa Faeldan-Suarez DDS 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1124457668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16018 AMAR RD",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917442203",
            "telephone_number": "626-968-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16018 AMAR RD",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917442203",
            "telephone_number": "626-968-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA FAELDAN-SUAREZ, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "FAELDAN-SUAREZ",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "626-968-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.