Active NPI
Maruko Orthodontics Inc
- Dentist
- Anaheim Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39838
- Legal business name
- MARUKO ORTHODONTICS INC
- Practice address
- 100 South Fairmont Blvd
Anaheim Hills, CA 92808 - Phone
- (714) 685-3890
- Fax
- (714) 685-3895
- NPI assigned
- Nov 15, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Evelyn Yumi Maruko, DMD MS
- Title
- President
- Phone
- (714) 685-3890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39838 | CA | Primary |
Addresses
Primary practice location
100 South Fairmont Blvd
Anaheim Hills, CA 92808
Mailing address
100 South Fairmont Blvd
Anaheim Hills, CA 92808
Phone (714) 685-3890
National Provider Directory
National Provider DirectoryLocations
100 S Fairmont Blvd
Anaheim, CA 92808
Phone (714) 685-3890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Anaheim, CA
- NPI 1710253455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558434183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SOUTH FAIRMONT BLVD",
"city": "ANAHEIM HILLS",
"state": "CA",
"postal_code": "92808",
"telephone_number": "714-685-3890",
"fax_number": "714-685-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH FAIRMONT BLVD",
"city": "ANAHEIM HILLS",
"state": "CA",
"postal_code": "92808",
"telephone_number": "714-685-3890",
"fax_number": "714-685-3895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARUKO ORTHODONTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARUKO",
"authorized_official_first_name": "EVELYN",
"authorized_official_middle_name": "YUMI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-685-3890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD MS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.