Maritessa I. Masangya DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

47946 Issued in CA

Legal business name

MARITESSA I. MASANGYA DDS, INC.

Practice address

2207 Highland Ave.
Suite 102
National City, CA 91950-6905

Phone

(619) 292-2996

Fax

(619) 292-2571

NPI assigned

Nov 20, 2014

Last updated

Nov 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maritessa Mendoza Masangya

Title

DDS/Owner

Phone

(619) 292-2996

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1548667470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 HIGHLAND AVE.",
            "address_2": "SUITE 102",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919506905",
            "telephone_number": "619-292-2996",
            "fax_number": "619-292-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 HIGHLAND AVE.",
            "address_2": "SUITE 102",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919506905",
            "telephone_number": "619-292-2996",
            "fax_number": "619-292-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITESSA I. MASANGYA DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "MASANGYA",
        "authorized_official_first_name": "MARITESSA",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "619-292-2996",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "526520 OFFICE #01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in National City, CA
• Providers in National City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.