NPIMap

Organization Active NPI

Marissa Faeldan-Suarez, Inc

  • Pediatric Dentistry
  • Culver City, CA
National Provider Identifier
1770929747
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
58944 Issued in CA
Legal business name
MARISSA FAELDAN-SUAREZ, INC
Practice address
5432 Sepulveda Blvd
Suite B
Culver City, CA 90230-5512
Phone
(626) 379-1110
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Dr. Marissa Faeldan-Suarez
Title
Pediatric Dentist
Phone
(626) 379-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 58944 CA Primary

Addresses

Primary practice location

5432 Sepulveda Blvd
Suite B
Culver City, CA 90230-5512

Mailing address

5432 Sepulveda Blvd
Suite B
Culver City, CA 90230-5512

National Provider Directory

National Provider Directory
Tax ID family
Marissa Faeldan-Suarez DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5432 Sepulveda Blvd
Ste B
Culver City, CA 90230
Phone (626) 379-1110

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1770929747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 SEPULVEDA BLVD",
            "address_2": "SUITE B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 SEPULVEDA BLVD",
            "address_2": "SUITE B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305512",
            "telephone_number": "626-379-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA FAELDAN-SUAREZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "FAELDAN-SUAREZ",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "626-379-1110",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.