Natalia Petrova, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

52100 Issued in CA

Practice address

997 W San Marcos Blvd #106
San Marcos, CA 92078-1136

Phone

(760) 761-0905

Fax

(760) 761-0906

NPI assigned

Sep 27, 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

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.

• Petrova Dental Corporation

  • General Practice Dentistry
  • San Marcos, CA
  • NPI 1568987915
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508957390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 W SAN MARCOS BLVD #106",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781136",
            "telephone_number": "760-761-0905",
            "fax_number": "760-761-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 W SAN MARCOS BLVD #106",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781136",
            "telephone_number": "760-761-0905",
            "fax_number": "760-761-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVA",
        "first_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "52100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter B. Nguyen, DDS, Inc
• Cyntrea Peters
• M J Peters, M.D
• Kaitlyn Peterson
• Petrova Dental Corporation
• Eric R Pevney, PHD
• Alise Kathleen Pham, DO
• Lena Hanhduyen Pham
• Lynda Ho Pham, LMFT
• Nikki Pham, PHARM.D.

• Public Health Dentistry in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.