Anthony Marino D.D.S., M.S. Professional Cororation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

34521 Issued in CA

Legal business name

ANTHONY MARINO D.D.S., M.S. PROFESSIONAL CORORATION

Practice address

1010 Empire Street
Fairfield, CA 94533-5707

Phone

(707) 448-6271

Fax

(707) 448-4742

NPI assigned

Sep 13, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Coren Re, RDA

Title

Rda / Front Office Assistant

Phone

(707) 448-6271

Specialties & licenses 1

Addresses

Tax ID family

Anthony Marino DDS Ms Professional Cororation2 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.

• Dr. Anthony Marino D.D.S., M.S., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairfield, CA
  • NPI 1467858639
  NPD tax ID

Locations

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1790035145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ALAMO DRIVE",
            "address_2": "SUITE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884245",
            "telephone_number": "707-448-6271",
            "fax_number": "707-448-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EMPIRE STREET",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335707",
            "telephone_number": "707-448-6271",
            "fax_number": "707-448-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY MARINO D.D.S., M.S. PROFESSIONAL CORORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "RE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "COREN",
        "authorized_official_title_or_position": "RDA / FRONT OFFICE ASSISTANT",
        "authorized_official_telephone_number": "707-448-6271",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "34521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suelyn Mary Anhalt, RN
• Sule Anibaba, AMFT
• Maria Cecilia Caboboy Anicete, PT
• William Andrew Ankney, M.D.
• Anne Chen MD Inc
• Andre Anthony
• Nikki L Anthony, RN
• Anna Marie Antonio, FNP
• Genesis Profeta Antonio, D.D.S.
• Aleena Antony

• Orthodontics and Dentofacial Orthopedics Dentistry in Fairfield, CA
• Providers in Fairfield, 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 Sep 13, 2012; 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.