Marino J. Alea Iglesias, DDS, P.C

Primary specialty

DentistTaxonomy code 122300000X

License

60649 Issued in CA

Legal business name

MARINO J. ALEA IGLESIAS, DDS, P.C

Practice address

2425 Naglee Rd
Tracy, CA 95304-7324

Phone

(209) 833-7392

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Marino J Alea Iglesias, DDS

Title

Practice Owner

Phone

(209) 833-7392

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1386914125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 NAGLEE RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953047324",
            "telephone_number": "209-833-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 NAGLEE RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953047324",
            "telephone_number": "209-833-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINO J. ALEA IGLESIAS, DDS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "ALEA IGLESIAS",
        "authorized_official_first_name": "MARINO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "209-833-7392",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "60649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Tracy, CA
• Providers in Tracy, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.