Organization Active NPI

Arline G. Macaraeg, D.M.D., Inc.

  • General Practice Dentistry
  • South San Francisco, CA
National Provider Identifier
1407073067
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39836 Issued in CA
Legal business name
ARLINE G. MACARAEG, D.M.D., INC.
Practice address
3500 Callan Blvd
Suite 202
South San Francisco, CA 94080-5168
Phone
(650) 588-5297
Fax
(650) 588-5295
NPI assigned
Apr 18, 2007
Last updated
May 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Dr. Arline G Macaraeg, D.M.D.
Title
President
Phone
(650) 588-5297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39836 CA Primary

Addresses

Primary practice location

3500 Callan Blvd
Suite 202
South San Francisco, CA 94080-5168

Mailing address

3500 Callan Boulevard
Suite 202
South San Francisco, CA 94080
Phone (650) 588-5297

National Provider Directory

National Provider Directory
Tax ID family
Arline G Macaraeg DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3500 Callan Blvd
Ste 202
South San Francisco, CA 94080
Phone (650) 588-5297

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1407073067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CALLAN BOULEVARD",
            "address_2": "SUITE 202",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94080",
            "telephone_number": "650-588-5297",
            "fax_number": "650-588-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CALLAN BLVD",
            "address_2": "SUITE 202",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805168",
            "telephone_number": "650-588-5297",
            "fax_number": "650-588-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINE G. MACARAEG, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "MACARAEG",
        "authorized_official_first_name": "ARLINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-588-5297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.