Organization Active NPI

Marie Parisek DDS Inc

  • Dentist
  • Tracy, CA
National Provider Identifier
1750483624
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36997 Issued in CA
Legal business name
MARIE PARISEK DDS INC
Practice address
1866 W 11TH St
Tracy, CA 95376-3736
Phone
(209) 833-9322
Fax
(209) 833-9307
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Anthony Parisek
Title
Secretary
Phone
(205) 833-9322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 36997 CA Primary

Addresses

Primary practice location

1866 W 11TH St
Tracy, CA 95376-3736

Mailing address

1866 W 11TH St
Tracy, CA 95376-3736
Phone (209) 833-9322

National Provider Directory

National Provider Directory

Locations

1866 W 11th St
Tracy, CA 95376
Phone (209) 833-9322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1750483624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 W 11TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763736",
            "telephone_number": "209-833-9322",
            "fax_number": "209-833-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 W 11TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763736",
            "telephone_number": "209-833-9322",
            "fax_number": "209-833-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE PARISEK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "PARISEK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "205-833-9322"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.