Organization Active NPI

Marvizi Dental Group

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1790179703
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31829 Issued in CA
Legal business name
MARVIZI DENTAL GROUP
Practice address
3720 Gosford Rd
Suite C
Bakersfield, CA 93309-7695
Phone
(661) 831-9024
Fax
(661) 836-1242
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Joseph Massoud Marvizi, DDS
Title
Owner
Phone
(661) 831-9024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 31829 CA Primary

Addresses

Primary practice location

3720 Gosford Rd
Suite C
Bakersfield, CA 93309-7695

Mailing address

3720 Gosford Road
Suite C
Bakersfield, CA 93309
Phone (661) 831-9024

Other names 1

  • Apollonia Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3720 Gosford Rd
Ste C
Bakersfield, CA 93309
Phone (661) 831-9024

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": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1790179703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 GOSFORD ROAD",
            "address_2": "SUITE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-831-9024",
            "fax_number": "661-836-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 GOSFORD RD",
            "address_2": "SUITE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097695",
            "telephone_number": "661-831-9024",
            "fax_number": "661-836-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIZI DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "MARVIZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MASSOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-831-9024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollonia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.