Marston-Smith Yv DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MARSTON-SMITH YV DDS INC

Practice address

7144 Airway Ave
Yucca Valley, CA 92284-3866

Phone

(760) 365-4400

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By 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

Blake Marston, DDS

Title

President/Orthodontist

Phone

(480) 239-8720

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1215757687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 EDEN GRV",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7144 AIRWAY AVE",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843866",
            "telephone_number": "760-365-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSTON-SMITH YV DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "MARSTON",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "480-239-8720",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumit Mahajan, MD
• Sheila Malekian, MD
• Elizabeth Gay Manley, NURSE PRACTITIONER
• Paul Benjamin Mannes, LPCC
• Michael Mansell
• Alexzander Stonelee Martin
• Mei-Ling Jerez Martin, LMFT, APCC
• Melissa Hope Martin
• Raeanna Martin
• Timothy W. Martin

• Pediatric Dentistry in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.