Active NPI
Maria Lourdes Dimatera DMD
- General Practice Dentistry
- Sanger, CA
National Provider Identifier
1699972570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44862
- Legal business name
- MARIA LOURDES DIMATERA DMD
- Practice address
- 801 N St
Sanger, CA 93657-3115 - Phone
- (559) 876-1777
- Fax
- (559) 876-2763
- NPI assigned
- Jul 2, 2007
- Last updated
- Sep 8, 2008
- 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. Maria Lourdes Briz Dimatera, DMD
- Title
- Owner
- Phone
- (559) 876-1777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44862 | CA | Primary |
Addresses
Primary practice location
801 N St
Sanger, CA 93657-3115
Mailing address
801 N St
Sanger, CA 93657-3115
Phone (559) 876-1777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44862 | Other | CA | BILLING PROVIDER NUMBER |
| G9408101 | Other | CA | DENTICAL BILLING NUMBER |
National Provider Directory
National Provider DirectoryLocations
801 N St
Sanger, CA 93657
Phone (559) 876-1777
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Sanger, CA
- NPI 1811053929
-
- General Practice Dentistry
- Sanger, CA
- NPI 1144394602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220832000000",
"number": "1699972570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N ST",
"city": "SANGER",
"state": "CA",
"postal_code": "936573115",
"telephone_number": "559-876-1777",
"fax_number": "559-876-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N ST",
"city": "SANGER",
"state": "CA",
"postal_code": "936573115",
"telephone_number": "559-876-1777",
"fax_number": "559-876-2763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIA LOURDES DIMATERA DMD",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2008-09-08",
"status": "A",
"authorized_official_last_name": "DIMATERA",
"authorized_official_first_name": "MARIA LOURDES",
"authorized_official_middle_name": "BRIZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-876-1777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING PROVIDER NUMBER",
"identifier": "44862",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL BILLING NUMBER",
"identifier": "G9408101",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanger, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.