Organization Active NPI

Maricel B Guarin-Fortin DDS Inc

  • Dentist
  • Glendale, CA
National Provider Identifier
1407255268
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
B46812 Issued in CA
Legal business name
MARICEL B GUARIN-FORTIN DDS INC
Practice address
1439 E Colorado St
Glendale, CA 91205-1511
Phone
(818) 545-7270
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Maricel B Guarin-Fortin, DDS
Title
President
Phone
(818) 545-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X B46812 CA Primary

Addresses

Primary practice location

1439 E Colorado St
Glendale, CA 91205-1511

Mailing address

1439 E Colorado St
Glendale, CA 91205-1511
Phone (818) 545-7270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1407255268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051511",
            "telephone_number": "818-545-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051511",
            "telephone_number": "818-545-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICEL B GUARIN-FORTIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "GUARIN-FORTIN",
        "authorized_official_first_name": "MARICEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-545-7270",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B46812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.