Active NPI
Maura C Tuso, DMD
- Endodontics
- San Diego, CA
National Provider Identifier
1306904826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 53402
- Practice address
- 4177 W Point Loma Blvd
San Diego, CA 92110-5604 - Phone
- (503) 707-6642
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 53402 | CA | Primary |
Addresses
Primary practice location
4177 W Point Loma Blvd
San Diego, CA 92110-5604
Mailing address
4177 W Point Loma Blvd
San Diego, CA 92110-5604
Phone (503) 707-6642
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53402 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1306904826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4177 W POINT LOMA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105604",
"telephone_number": "503-707-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4177 W POINT LOMA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105604",
"telephone_number": "503-707-6642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUSO",
"first_name": "MAURA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "53402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.