Grace Tamonan Macarubbo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50639 Issued in CA

Practice address

2020 Coffee Rd Suite E
Modesto, CA 95355-2421

Phone

(209) 571-9855

Fax

(209) 571-9874

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiles for Miles, Dental Office of Dr Manosov P.C

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1225169683
  NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1447326467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 COFFEE RD",
            "address_2": "E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-571-9855",
            "fax_number": "209-571-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COFFEE RD SUITE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552421",
            "telephone_number": "209-571-9855",
            "fax_number": "209-571-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARUBBO",
        "first_name": "GRACE",
        "middle_name": "TAMONAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ma
• Jonathan Geechun Ma, M.D.
• Richard Andrew Ma, DO
• Leslicharme Agawin Macapayad, FNP-C
• Brianna Macarthur
• Marie Jean Macarubbo, MD
• Joel Macasero, NP
• Arturo Macasinag, M.D
• Ewan Stephen Macdonald, RNFA
• Cynthia Macedo

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.