Marcelo Romero-Shu, DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

102201 Issued in CA

Legal business name

MARCELO ROMERO-SHU, DDS INC.

Doing business as

Oak Valley Dental

Practice address

27180 Newport Rd Ste 1
Menifee, CA 92584-7389

Phone

(951) 679-9355

NPI assigned

Apr 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Marcelo Romero-Shu, DDSNPI 1275977159

Title

Dentist/Owner

Phone

(951) 679-9355

Specialties & licenses 1

Addresses

Other names 1

• Oak Valley Dental Doing business as

Locations

Practitioners 2

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

• Marcelo Andres Romero-Shu

  • Dentist
  • Muskego, WI
  • NPI 1275977159
  NPD Authorized official
• Richard George Kennedy, D.D.S.

  • Dentist
  • Menifee, CA
  • NPI 1285720391
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1760988877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27180 NEWPORT RD STE 1",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847389",
            "telephone_number": "951-679-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27180 NEWPORT RD STE 1",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847389",
            "telephone_number": "951-679-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELO ROMERO-SHU, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "ROMERO-SHU",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "951-679-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "102201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Airene Olesco Maldonado
• Cynthia M Maldonado
• Rebekah Marie Maldonado
• Heather Nicole Maltby, BS RRT/RCP
• Glyka Nicole Manahan, FNP
• Marieke Overman PHD
• Samuel Marino, NP
• Bryce Marie Martinez, CD(DONA)
• Jeremy Martinez
• Justin O Martinez

• Dental Clinic/Center in Menifee, CA
• Providers in Menifee, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.