Philip G. Marais, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

27333 Issued in CA

Legal business name

PHILIP G. MARAIS, DDS

Practice address

1270 Sartori Ave
Torrance, CA 90501-2717

Phone

(310) 320-1471

Fax

(310) 320-7645

NPI assigned

Apr 23, 2016

Last updated

Apr 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip Gordon Marais, DDS

Title

Owner/Dentist

Phone

(310) 320-1471

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1461369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461369600000",
    "number": "1184079410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 SARTORI AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012717",
            "telephone_number": "310-320-1471",
            "fax_number": "310-320-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 SARTORI AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012717",
            "telephone_number": "310-320-1471",
            "fax_number": "310-320-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP G. MARAIS, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-23",
        "last_updated": "2016-04-23",
        "status": "A",
        "authorized_official_last_name": "MARAIS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "310-320-1471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1851715924",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY NUMBER",
            "identifier": "122300000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2016; 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.