Maritere Zamora, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

109573 Issued in CA

Practice address

4447 Sepulveda Blvd
Culver City, CA 90230-4847

Phone

(786) 325-2214

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broadway Family Dental P.C.

  • Dental Clinic/Center
  • Brooklyn, NY
  • NPI 1457797318
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1861055840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 BUCKHAVEN RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095124",
            "telephone_number": "786-325-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304847",
            "telephone_number": "786-325-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1152 Broadway",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112213002",
            "country_code": "US",
            "telephone_number": "718-455-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282018",
            "country_code": "US",
            "telephone_number": "954-262-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "MARITERE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Rocio Yutan
• Soseh Zakarian
• Tatevik Zakaryan
• Kristen L Zaleski, LCSW
• Zamani Dental Inc
• Patrick Zang
• Nyree Marisa Zapata
• Summer B Zapata
• Kyle Patrick Patrimonio Zarate
• Melissa Flores Zavala, PSY.D

• Dentist in Culver City, CA
• Providers in Culver City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.