Marian B Afurong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31020 Issued in CA

Practice address

2440 S Hacienda Blvd
Suite 203
Hacienda Heights, CA 91745-4775

Phone

(626) 968-2020

Fax

(626) 968-7021

NPI assigned

Feb 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. M. Afurong, DDS Inc.

  • General Practice Dentistry
  • Hacienda Heights, CA
  • NPI 1598156432
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720122351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 S HACIENDA BLVD",
            "address_2": "SUITE 203",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454775",
            "telephone_number": "626-968-2020",
            "fax_number": "626-968-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 S HACIENDA BLVD",
            "address_2": "SUITE 203",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454775",
            "telephone_number": "626-968-2020",
            "fax_number": "626-968-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFURONG",
        "first_name": "MARIAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• General Practice Dentistry in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.