Organization Active NPI

Muguerza M PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Monroe, WA
National Provider Identifier
1124779012
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MUGUERZA M PLLC
Practice address
770 W Main St
Monroe, WA 98272-2108
Phone
(360) 805-0900
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Mariana Muguerza Quijano, DDS, MSDNPI 1336591304
Title
Orthodontist
Phone
(206) 913-1723

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

770 W Main St
Monroe, WA 98272-2108

Mailing address

12232 Greenwood Ave N
Seattle, WA 98133-8106
Phone (206) 913-1723

National Provider Directory

National Provider Directory

Locations

770 W Main St
Monroe, WA 98272
Phone (360) 805-0900

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": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1124779012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12232 GREENWOOD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338106",
            "telephone_number": "206-913-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722108",
            "telephone_number": "360-805-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUGUERZA M PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "MUGUERZA QUIJANO",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "206-913-1723",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.