Individual provider Active NPI

Maria Karina Oberteicher, DDS

  • Dentist
  • La Habra, CA
National Provider Identifier
1497056618
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59860 Issued in CA
Practice address
200 Highland CT
La Habra, CA 90631-2923
Phone
(131) 046-5934
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59860 CA Primary

Addresses

Primary practice location

200 Highland CT
La Habra, CA 90631-2923

Mailing address

200 Highland CT
La Habra, CA 90631-2923
Phone (310) 465-9345

Other identifiers 1

IdentifierTypeStateIssuer
D6013799OtherCADRIVER LICENSE

Other names 1

  • Maria Karina Bustos Rondon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000351 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931358470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59860CAMDDentist

Interoperability endpoints

  • Direct secure messaging: maria.oberteicherdds.p1@direct.jwch.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1497056618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND CT",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312923",
            "telephone_number": "310-465-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND CT",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312923",
            "telephone_number": "131-046-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERTEICHER",
        "first_name": "MARIA",
        "middle_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "D6013799",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "BUSTOS RONDON",
            "middle_name": "KARINA",
            "credential": "DENTAL SURGERON.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.