Active NPI
Marilou D Navarro
- Pediatric Dentistry
- San Jose, CA
National Provider Identifier
1700957297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 43719
- Practice address
- 750 N Capitol Ave Ste C2
San Jose, CA 95133-1942 - Phone
- (408) 258-5244
- Fax
- (408) 258-4768
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 43719 | CA | Primary |
Addresses
Primary practice location
750 N Capitol Ave Ste C2
San Jose, CA 95133-1942
Mailing address
316 Creekside Village Dr
Los Gatos, CA 95032-7393
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 |
|---|---|---|---|
| 43719 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700957297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 CREEKSIDE VILLAGE DR",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950327393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N CAPITOL AVE STE C2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951331942",
"telephone_number": "408-258-5244",
"fax_number": "408-258-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "MARILOU",
"middle_name": "D",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "43719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.