Organization Active NPI

Natanya Marracino DMD, Inc

  • Endodontics
  • San Francisco, CA
National Provider Identifier
1386035236
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
58169 Issued in CA
Legal business name
NATANYA MARRACINO DMD, INC
Doing business as
Mill Valley Endodontics
Practice address
60 Elsie St
San Francisco, CA 94110-5107
Phone
(415) 377-4114
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Dr. Natanya Marracino, DMD
Title
Owner
Phone
(415) 383-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 58169 CA Primary

Addresses

Primary practice location

60 Elsie St
San Francisco, CA 94110-5107

Mailing address

655 Redwood Hwy Frontage Rd Ste 120
Mill Valley, CA 94941-3068
Phone (415) 383-1200

Other names 1

  • Mill Valley Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

655 Redwood Hwy Frontage Rd
Ste 120
Mill Valley, CA 94941

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1386035236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 120",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413068",
            "telephone_number": "415-383-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ELSIE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105107",
            "telephone_number": "415-377-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATANYA MARRACINO DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "MARRACINO",
        "authorized_official_first_name": "NATANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-383-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "58169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Valley Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.