Individual provider Active NPI

Maria Molano, DDS

  • General Practice Dentistry
  • Redlands, CA
National Provider Identifier
1336266923
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47959 Issued in CA
Practice address
1233 Brookside Ave Ste a
Redlands, CA 92373-4402
Phone
(909) 799-7674
Fax
(909) 746-8095
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47959 CA Primary

Addresses

Primary practice location

1233 Brookside Ave Ste a
Redlands, CA 92373-4402

Mailing address

1233 Brookside Ave Ste a
Redlands, CA 92373-4402
Phone (909) 799-7674

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
47959CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria M. Molano DDS Inc CurrentSince Jan 14, 2024 Accepting new patients
Ronald Abaro Dental Corp PastSince Mar 28, 2021 Accepting new patients

Locations

1233 Brookside Ave
#A
Redlands, CA 92373
Phone (909) 798-8022

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1336266923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 BROOKSIDE AVE STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734402",
            "telephone_number": "909-799-7674",
            "fax_number": "909-746-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 BROOKSIDE AVE STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734402",
            "telephone_number": "909-799-7674",
            "fax_number": "909-746-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLANO",
        "first_name": "MARIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.