Individual provider Active NPI

Julita Sindayen Marasigan, DDS

  • General Practice Dentistry
  • Hampton, VA
National Provider Identifier
1225421092
Registry record updated Jul 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414758 Issued in VA
Practice address
2040 Coliseum Dr
Hampton, VA 23666-3200
Phone
(757) 262-0020
NPI assigned
Mar 18, 2015
Last updated
Jul 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401414758 VA Primary

Addresses

Primary practice location

2040 Coliseum Dr
Hampton, VA 23666-3200

Mailing address

2040 Coliseum Dr
Hampton, VA 23666-3200
Phone (757) 262-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 11, 2016 through May 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401414758VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437868800000",
    "number": "1225421092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 COLISEUM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663200",
            "telephone_number": "757-262-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 COLISEUM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663200",
            "telephone_number": "757-262-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASIGAN",
        "first_name": "JULITA",
        "middle_name": "SINDAYEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.