Martha Eugenia De Los Rios

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53781 Issued in CA

Practice address

3433 Arden Way
Sacramento, CA 95825-2018

Phone

(916) 984-4224

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Martha Eugenia De Los Rios Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1154483550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 SPOTTED PONY LN",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655467",
            "telephone_number": "916-960-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252018",
            "telephone_number": "916-984-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS RIOS",
        "first_name": "MARTHA",
        "middle_name": "EUGENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "DE LOS RIOS",
            "middle_name": "EUGENIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Megan De Leon
• Joanna De Leon
• Maritess Bacani De Leon, RN
• Moises Roberto De Leon
• Mariela Anai De Loa
• Dominic De Marco, MD
• Charles John De Mesa, D.O.
• Rhea De Mesa, ACNP
• Matthew Allen De Niear, MD PHD
• Marcela De Oliveira Carniello

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.