Active NPI
Stephen E Maron, D.D.S.
- Dentist
- Northridge, CA
National Provider Identifier
1679731996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25592
- Practice address
- 9535 Reseda Blvd
Suite 207
Northridge, CA 91324-2310 - Phone
- (818) 886-3488
- Fax
- (818) 886-3498
- NPI assigned
- May 23, 2008
- Sex
- Male
- 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 | 25592 | CA | Primary |
Addresses
Primary practice location
9535 Reseda Blvd
Suite 207
Northridge, CA 91324-2310
Mailing address
9535 Reseda Blvd
Suite 207
Northridge, CA 91324-2310
Phone (818) 886-3488
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1679731996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9535 RESEDA BLVD",
"address_2": "SUITE 207",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913242310",
"telephone_number": "818-886-3488",
"fax_number": "818-886-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9535 RESEDA BLVD",
"address_2": "SUITE 207",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913242310",
"telephone_number": "818-886-3488",
"fax_number": "818-886-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARON",
"first_name": "STEPHEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-23",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "25592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.