Individual provider Active NPI

Elizabeth Paula Marquez, DDS

  • Dentist
  • Fresno, CA
National Provider Identifier
1548326598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53831 Issued in CA
Practice address
3636 N First St
Suite 152
Fresno, CA 93726-6818
Phone
(559) 229-4536
Fax
(559) 229-6162
NPI assigned
Dec 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53831 CA Primary

Addresses

Primary practice location

3636 N First St
Suite 152
Fresno, CA 93726-6818

Mailing address

3636 N First St
Suite 152
Fresno, CA 93726-6818
Phone (559) 229-4536

Other names 1

  • Mrs. Elizabeth Paula Dulce Other 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
I20160418001086 CA Order and Referring Only - DentistPractitioner - Dentist 4385942895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548326598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N FIRST ST",
            "address_2": "SUITE 152",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266818",
            "telephone_number": "559-229-4536",
            "fax_number": "559-229-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N FIRST ST",
            "address_2": "SUITE 152",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266818",
            "telephone_number": "559-229-4536",
            "fax_number": "559-229-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ELIZABETH",
        "middle_name": "PAULA",
        "name_prefix": "Miss",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DULCE",
            "middle_name": "PAULA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.