NPIMap

Organization Active NPI

Joseph Marvizi DDS Inc

  • Preferred Provider Organization
  • Long Beach, CA
National Provider Identifier
1508250317
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
31829 Issued in CA
Legal business name
JOSEPH MARVIZI DDS INC
Practice address
4028 Long Beach Blvd
Suite 203
Long Beach, CA 90807-2697
Phone
(562) 595-4123
Fax
(562) 988-7918
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Dr. Joseph Marvizi, D.D.S.
Title
Owner
Phone
(562) 595-4123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 31829 CA Primary

Addresses

Primary practice location

4028 Long Beach Blvd
Suite 203
Long Beach, CA 90807-2697

Mailing address

4028 Long Beach Blvd
Suite 203
Long Beach, CA 90807-2697
Phone (562) 595-4123

Other names 1

  • Apollonia Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1508250317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 LONG BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072697",
            "telephone_number": "562-595-4123",
            "fax_number": "562-988-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 LONG BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072697",
            "telephone_number": "562-595-4123",
            "fax_number": "562-988-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MARVIZI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "MARVIZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-595-4123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "31829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollonia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.