Marie Doulaverakis DDS Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MARIE DOULAVERAKIS DDS INC.

Doing business as

Marie Doulaverakis DDS MA Orthodontist

Practice address

5828 Adenmoor Ave
Lakewood, CA 90713-1002

Phone

(562) 867-2612

Fax

(562) 210-5255

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By 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

Dr. Marie Doulaverakis, DDANPI 1508954702

Title

Owner/Doctor

Phone

(917) 742-4796

Specialties & licenses 1

Addresses

Other names 1

• Marie Doulaverakis DDS MA Orthodontist Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie Doulaverakis, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Dimas, CA
  • NPI 1508954702
  NPD Authorized official

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1316665904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 ADENMOOR AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131002",
            "telephone_number": "562-867-2612",
            "fax_number": "562-210-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 ADENMOOR AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131002",
            "telephone_number": "562-867-2612",
            "fax_number": "562-210-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE DOULAVERAKIS DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "DOULAVERAKIS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "917-742-4796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marie Doulaverakis DDS MA Orthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karina Manzo
• Omkar Subhash Marathe, MD
• Erica Martin Marbach, DC
• Vikram Marfatia, M.D
• Maria Regalado, D.D.S., a Professional Corporation
• Marilou Toquero Dental Corp
• Marina Whole Health
• Mark R. Ezekiel, M.D., a Medical Corporation
• Montryce Salinda Marshall
• Yeraldin Estephany Martin Jhonson, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.