NPIMap

Organization Active NPI

Marta a. Penman, DDS, a Professional Dental Corporation

Doing business as Carlsbad Pediatric Dental Care

  • Dentist
  • Carlsbad, CA
National Provider Identifier
1326475203
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46363 Issued in CA
Legal business name
MARTA A. PENMAN, DDS, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Carlsbad Pediatric Dental Care
Practice address
1207 Carlsbad Village Dr
Suite a
Carlsbad, CA 92008-1957
Phone
(760) 434-7374
Fax
(760) 434-1605
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. Marta Anne Penman, DDS
Title
Dentist
Phone
(760) 845-8858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 46363 CA Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 44056 CA

Addresses

Primary practice location

1207 Carlsbad Village Dr
Suite a
Carlsbad, CA 92008-1957

Mailing address

1207 Carlsbad Village Dr
Suite a
Carlsbad, CA 92008-1957
Phone (760) 434-7374

Other names 1

  • Carlsbad Pediatric Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1326475203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CARLSBAD VILLAGE DR",
            "address_2": "SUITE A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081957",
            "telephone_number": "760-434-7374",
            "fax_number": "760-434-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CARLSBAD VILLAGE DR",
            "address_2": "SUITE A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081957",
            "telephone_number": "760-434-7374",
            "fax_number": "760-434-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA A. PENMAN, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "PENMAN",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-845-8858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46363",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "44056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlsbad Pediatric Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.