Individual provider Active NPI

Maribel Agonos Celebrado, DDS

  • Dentist
  • El Cajon, CA
National Provider Identifier
1275605289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46760 Issued in CA
Practice address
1571 N Magnolia Ave Ste 205
Dr Maribel a Celebrado
El Cajon, CA 92020
Phone
(619) 258-0355
Fax
(619) 258-3586
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46760 CA Primary

Addresses

Primary practice location

1571 N Magnolia Ave Ste 205
Dr Maribel a Celebrado
El Cajon, CA 92020

Mailing address

1571 N Magnolia Ave Ste 205
Dr Maribel a Celebrado
El Cajon, CA 92020
Phone (619) 258-0355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46760CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275605289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 N MAGNOLIA AVE STE 205",
            "address_2": "DR MARIBEL A CELEBRADO",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-258-0355",
            "fax_number": "619-258-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 N MAGNOLIA AVE STE 205",
            "address_2": "DR MARIBEL A CELEBRADO",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-258-0355",
            "fax_number": "619-258-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELEBRADO",
        "first_name": "MARIBEL",
        "middle_name": "AGONOS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.