Marc Pana Professional Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

54184 Issued in CA

Legal business name

MARC PANA PROFESSIONAL DENTAL CORPORATION

Practice address

6 Hughes
Suite 100
Irvine, CA 92618-2059

Phone

(877) 358-3915

Fax

(949) 680-1881

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marc Pana, D.D.S., M.S.

Title

Orthodontist/ President

Phone

(310) 435-5622

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1386827707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUGHES",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182059",
            "telephone_number": "877-358-3915",
            "fax_number": "949-680-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HUGHES",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182059",
            "telephone_number": "877-358-3915",
            "fax_number": "949-680-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC PANA PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "PANA",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "ORTHODONTIST/ PRESIDENT",
        "authorized_official_telephone_number": "310-435-5622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "54184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1043368517",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Patrick Mappes
• Mark Mapstone, PHD
• Delilah Mar
• Maria Marasigan
• Marc a. Lazzara D.O., a Medical Corporation
• Rosalinda Marchan
• Nolan Marcos
• Christine Alyse Marcucci, AGPCNP-BC
• Meagan Marie Marcuccilli, M.D.
• Meghan J Marcum, PSYD

• Orthodontics and Dentofacial Orthopedics Dentistry in Irvine, CA
• Providers in Irvine, 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 Jul 31, 2008; 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.