Organization Active NPI

Marc C. Dunn DDS, Ms Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roseville, CA
National Provider Identifier
1558089870
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MARC C. DUNN DDS, MS INC.
Practice address
10012 Foothills Blvd
Roseville, CA 95747-7102
Phone
(916) 788-0202
Fax
(916) 782-0833
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Vicenta Reyes
Title
Manager of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

10012 Foothills Blvd
Roseville, CA 95747-7102

Mailing address

10012 Foothills Blvd
Roseville, CA 95747-7102
Phone (916) 788-0202

Other names 1

  • Dunn Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

10012 Foothills Blvd
Roseville, CA 95747
Phone (916) 788-0202

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": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1558089870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 FOOTHILLS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477102",
            "telephone_number": "916-788-0202",
            "fax_number": "916-782-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 FOOTHILLS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477102",
            "telephone_number": "916-788-0202",
            "fax_number": "916-782-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC C. DUNN DDS, MS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VICENTA",
        "authorized_official_title_or_position": "MANAGER OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunn Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.