Cristina Rose Markiewicz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100395 Issued in CA

Practice address

400 S. Reino Road
Suite 100
Newbury Park, CA 91320

Phone

(805) 498-0400

Fax

(805) 273-9003

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Kathleen S Carson DDS Inc

  • Customized Equipment (DME)
  • Agoura Hills, CA
  • NPI 1265916175
  NPD

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1528410784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S. REINO ROAD",
            "address_2": "SUITE 100",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-498-0400",
            "fax_number": "805-273-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. REINO ROAD",
            "address_2": "SUITE 100",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-498-0400",
            "fax_number": "805-273-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30200 Agoura Rd # 270",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913015434",
            "country_code": "US",
            "telephone_number": "818-889-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKIEWICZ",
        "first_name": "CRISTINA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100395",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "100395",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerryann Magner-Varela, APCC
• Marcela Veronica Malcolm, MFT
• Christopher John Mallari
• Padmaja Manthena, DDS
• Gina Marcaccio, NP
• Jessica Diane Marks
• Richard Markus, MD
• Yicel Jaurequi Martinez
• Mary Health of the Sick Convalescent and Nursing Hospital Incorporated
• Mastour & Fard Dental Corp

• General Practice Dentistry in Newbury Park, CA
• Providers in Newbury Park, 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 Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.