Organization Active NPI

Maria R. Silvera Portacio PHD, DDS, Inc.

Doing business as Santa Maria Periodontics, Dental Practice of Maria R. Silvera Portacio

  • Dental Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1720223860
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53563 Issued in CA
Legal business name
MARIA R. SILVERA PORTACIO PHD, DDS, INC.
Doing business as
Santa Maria Periodontics, Dental Practice of Maria R. Silvera Portacio
Practice address
210 S Palisade Dr Ste 201
Santa Maria, CA 93454-8900
Phone
(805) 928-7979
Fax
(805) 928-7955
NPI assigned
Dec 3, 2008
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Maria R Silvera Portacio, PHD, DDSNPI 1174561534
Title
Periodontist
Phone
(805) 928-7979

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
Dental Clinic/Center 261QD0000X 53563 CA Primary

Addresses

Primary practice location

210 S Palisade Dr Ste 201
Santa Maria, CA 93454-8900

Mailing address

210 S Palisade Dr Ste 201
Santa Maria, CA 93454-8900
Phone (805) 928-7979

Other names 1

  • Santa Maria Periodontics, Dental Practice of Maria R. Silvera Portacio Doing business as

National Provider Directory

National Provider Directory

Locations

210 S Palisade Dr
Ste 201
Santa Maria, CA 93454
Phone (805) 928-7979

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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1720223860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548900",
            "telephone_number": "805-928-7979",
            "fax_number": "805-928-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548900",
            "telephone_number": "805-928-7979",
            "fax_number": "805-928-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA R. SILVERA PORTACIO PHD, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "SILVERA PORTACIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "805-928-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Periodontics, Dental Practice of Maria R. Silvera Portacio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.