Sergio Aquiles Monraz, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

40683 Issued in CA

Practice address

173 Johnson St
Windsor, CA 95492-7435

Phone

(707) 838-0444

Fax

(707) 838-4482

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Sergio Aquiles Monraz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1154463743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 TURNBERRY CT",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954927991",
            "telephone_number": "707-838-0444",
            "fax_number": "707-838-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 JOHNSON ST",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954927435",
            "telephone_number": "707-838-0444",
            "fax_number": "707-838-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONRAZ",
        "first_name": "SERGIO",
        "middle_name": "AQUILES",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "B4068301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERGIO",
            "last_name": "MONRAZ",
            "middle_name": "AQUILES",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dentist in Windsor, CA
• Providers in Windsor, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.