Marcelle E. Kobrossi

Primary specialty

DentistTaxonomy code 122300000X

License

55200 Issued in CA

Practice address

260 W. Foothill Blvd.
Rialto, CA 92376-5048

Phone

(909) 546-1366

Fax

(909) 820-7561

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: mkobrossi@direct.westerndental.com

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.

• Western Dental Services, Inc.

  • General Practice Dentistry
  • Rialto, CA
  • NPI 1134265515
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750423695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 W GREENWOOD AVE",
            "address_2": "APT. #03",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313757",
            "telephone_number": "909-546-1366",
            "fax_number": "714-571-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W. FOOTHILL BLVD.",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765048",
            "telephone_number": "909-546-1366",
            "fax_number": "909-820-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBROSSI",
        "first_name": "MARCELLE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D55200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma A Kirchner
• Alex Mutuku Kivila
• Stephanie Kleppe, LCSW
• Alyssa Taylor Knight
• Kobil Medical Supplies
• Michelle Eileen Koperski
• Heather Kretschmar
• Henry Sang Kwon, D.D.S.
• Angelina L Ladue, D.D.S.
• Christina Lambaren

• Dentist in Rialto, CA
• Providers in Rialto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.