John Maroon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40671 Issued in CA

Practice address

1177 Broadway
Suite 19
Chula Vista, CA 91911-2769

Phone

(619) 409-1400

Fax

(619) 409-1441

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Manijeh Hosseini Maroon, DDS, PC

  • General Practice Dentistry
  • Chula Vista, CA
  • NPI 1992914451
  NPD Authorized official
• Chula Vista Dental Care

  • General Practice Dentistry
  • Chula Vista, CA
  • NPI 1174741532
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1730396508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 BROADWAY STE 19",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112771",
            "telephone_number": "619-409-1400",
            "fax_number": "619-409-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 BROADWAY",
            "address_2": "SUITE 19",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112769",
            "telephone_number": "619-409-1400",
            "fax_number": "619-409-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1052 Broadway",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111857",
            "country_code": "US",
            "telephone_number": "619-409-1400",
            "fax_number": "619-409-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROON",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maroon-Lopez DDS, PC (Carmen Denise Maroon Lopez)
• Carmen Denise Maroon-Lopez, DDS
• Brandon Kian Gino Maroon, DDS
• Ileana Dominique Maroon, DDS
• Ileana P Maroon, D.D.S
• Kaitlin Niki Maroon
• Robert Edward Maroon, D.D.S.,F.I.C.O.I
• Marque Medical Clinic, Inc
• Marque Medical Clinic, Inc. (Marque Urgent Care)
• Marquez Dental Inc

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, 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 Mar 25, 2026; 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.