Maryam Michelle Pearose, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

51508 Issued in CA

Practice address

26730 Towne Centre Dr
Suite 106
Foothill Ranch, CA 92610-2842

Phone

(949) 716-2800

Fax

(949) 716-2900

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1497968697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR",
            "address_2": "SUITE 106",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102842",
            "telephone_number": "949-716-2800",
            "fax_number": "949-716-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR",
            "address_2": "SUITE 106",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102842",
            "telephone_number": "949-716-2800",
            "fax_number": "949-716-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAROSE",
        "first_name": "MARYAM",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "51508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Panganiban, MD, MS
• Marjorie Parga, DO
• Mercy Park
• Abigail Pascual
• Bakul Kumar Patel
• Ya Ju Peralta, NP
• Erin Silver Piccola, L.AC., DIPL.OM
• Yvonne Poon, PT DPT
• Sharoun Sean Porat, MD
• Positive Energy for Life LLC

• Pediatric Dentistry in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.