Organization Active NPI

Maryjane L. Fuster DMD Apc

  • General Practice Dentistry
  • Milpitas, CA
National Provider Identifier
1700110384
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43786 Issued in CA
Legal business name
MARYJANE L. FUSTER DMD APC
Doing business as
maryjane l. fuster dmd apc
Practice address
53 Marylinn Drive
Milpitas, CA 95035-4311
Phone
(408) 934-0391
Fax
(408) 934-0398
NPI assigned
Sep 29, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MARYJANE L. FUSTER DMD APCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maryjane L Fuster, DMDNPI 1508909136
Title
Dentist/Owner
Phone
(408) 934-0391

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)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43786 CA Primary

Addresses

Primary practice location

53 Marylinn Drive
Milpitas, CA 95035-4311

Mailing address

53 Marylinn Dr
Milpitas, CA 95035-4311
Phone (408) 934-0391

Other names 1

  • maryjane l. fuster dmd apc Doing business as

National Provider Directory

National Provider Directory
Part of
Maryjane L Fuster DMD Apc

Locations

53 Marylinn Dr
Milpitas, CA 95035
Phone (408) 934-0391

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1700110384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MARYLINN DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354311",
            "telephone_number": "408-934-0391",
            "fax_number": "408-934-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MARYLINN DRIVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354311",
            "telephone_number": "408-934-0391",
            "fax_number": "408-934-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYJANE L. FUSTER DMD APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYJANE L. FUSTER DMD APC",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "FUSTER",
        "authorized_official_first_name": "MARYJANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "408-934-0391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "maryjane l. fuster dmd apc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.