Active NPI
George a Maranon Oral Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Tarzana, CA
National Provider Identifier
1700037710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D32127
- Legal business name
- GEORGE A MARANON ORAL MAXILLOFACIAL SURGERY
- Practice address
- 18411 Clark St
Suite # 204
Tarzana, CA 91356-3506 - Phone
- (818) 344-0110
- Fax
- (818) 344-0110
- NPI assigned
- Oct 8, 2008
- Last updated
- Oct 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
- Mr. George A. Maranon, D.D.S.
- Title
- Owner
- Phone
- (818) 344-0110
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D32127 | CA | Primary |
Addresses
Primary practice location
18411 Clark St
Suite # 204
Tarzana, CA 91356-3506
Mailing address
18411 Clark St
Suite # 204
Tarzana, CA 91356-3506
Phone (818) 344-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D32127 | Other | CA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Encino, CA
- NPI 1780640144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1700037710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18411 CLARK ST",
"address_2": "SUITE # 204",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563506",
"telephone_number": "818-344-0110",
"fax_number": "818-344-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18411 CLARK ST",
"address_2": "SUITE # 204",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563506",
"telephone_number": "818-344-0110",
"fax_number": "818-344-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE A MARANON ORAL MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "MARANON",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-344-0110",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "D32127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "D32127",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.