Organization Active NPI

Marilou D. Quiroz DMD., Inc

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1730227414
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45760 Issued in CA
Legal business name
MARILOU D. QUIROZ DMD., INC
Practice address
1392 E Palomar St
Ste. 201
Chula Vista, CA 91913-1892
Phone
(619) 941-1820
Fax
(619) 941-1821
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. Rodolfo P Quiroz
Title
Secretary
Phone
(619) 395-4606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45760 CA Primary

Addresses

Primary practice location

1392 E Palomar St
Ste. 201
Chula Vista, CA 91913-1892

Mailing address

1392 E Palomar St Ste 201
Chula Vista, CA 91913-1893
Phone (619) 941-1820

National Provider Directory

National Provider Directory

Locations

1392 E Palomar St
Ste 201
Chula Vista, CA 91913
Phone (619) 941-1820

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1730227414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 E PALOMAR ST STE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131893",
            "telephone_number": "619-941-1820",
            "fax_number": "619-941-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 E PALOMAR ST",
            "address_2": "STE. 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131892",
            "telephone_number": "619-941-1820",
            "fax_number": "619-941-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILOU D. QUIROZ DMD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "619-395-4606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.