Active NPI
Karine Marcom, DDS
- Dentist
- Burbank, CA
National Provider Identifier
1609326115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100750
- Practice address
- 303 S Glenoaks Blvd
Suite 12
Burbank, CA 91502-1319 - Phone
- (818) 846-2923
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100750 | CA | Primary |
Addresses
Primary practice location
303 S Glenoaks Blvd
Suite 12
Burbank, CA 91502-1319
Mailing address
650 N Oakland Ave
#107
Pasadena, CA 91101-1160
Phone (916) 715-8860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100750 | CA | MD | Marriage & Family Therapist |
Interoperability endpoints
- karine.marcom@sjffcc.eclinicaldirectplus.com
- kmarcom330473@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1609326115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N OAKLAND AVE",
"address_2": "#107",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011160",
"telephone_number": "916-715-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S GLENOAKS BLVD",
"address_2": "SUITE 12",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021319",
"telephone_number": "818-846-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCOM",
"first_name": "KARINE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.