Organization Active NPI

Reppas & El-Maasri Dental Inc.

  • Dentist
  • San Marcos, CA
National Provider Identifier
1255790101
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62740 Issued in CA
Legal business name
REPPAS & EL-MAASRI DENTAL INC.
Practice address
1 Civic Center Dr
Suite 230
San Marcos, CA 92069-2918
Phone
(760) 798-4178
Fax
(760) 798-0564
NPI assigned
Feb 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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

Authorized official

Name
Dr. Joanna El-Maasri Reppas, DMD
Title
Owner/Dentist
Phone
(760) 798-4178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 62740 CA Primary

Addresses

Primary practice location

1 Civic Center Dr
Suite 230
San Marcos, CA 92069-2918

Mailing address

1 Civic Center Dr
Suite 230
San Marcos, CA 92069-2918
Phone (760) 798-4178

Other names 1

  • San Marcos Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1 Civic Center Dr
Ste 230
San Marcos, CA 92069
Phone (760) 798-4178

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456012800000",
    "number": "1255790101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER DR",
            "address_2": "SUITE 230",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692918",
            "telephone_number": "760-798-4178",
            "fax_number": "760-798-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER DR",
            "address_2": "SUITE 230",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692918",
            "telephone_number": "760-798-4178",
            "fax_number": "760-798-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPPAS & EL-MAASRI DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-02-21",
        "status": "A",
        "authorized_official_last_name": "REPPAS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "EL-MAASRI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "760-798-4178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Marcos Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.