Elyse Marie McAninch, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

63862 Issued in CA

Practice address

1895 Main St
Watsonville, CA 95076-6024

Phone

(831) 274-3214

NPI assigned

Aug 14, 2014

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 names 1

• Elyse Marie Garibaldi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1760881965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 MAIN ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MAIN ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766024",
            "telephone_number": "831-274-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANINCH",
        "first_name": "ELYSE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "GARIBALDI",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matrix Consuling Institue
• Matrix Rehabilitation, Inc. (Select Physical Therapy)
• Joseph Daniel Matthews, RDCS, RVT, RDMS, RPH
• Hunter Matys
• Theresa Elise May, PA
• Karen Renee McCabe, MSW
• Terra Bailey McCormick, OTR/L
• Anne-Marie Edith McDaniel, M.D.
• Clayton Richard McDaniel, MD
• Amy Kathleen McEntee, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.