Ileana Dominique Maroon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

109427 Issued in CA

Practice address

970 Eastlake Pkwy Ste 103
Chula Vista, CA 91914-3561

Phone

(619) 482-2920

NPI assigned

Aug 11, 2026

Sex

Female

Sole proprietor

No

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

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.

• East Lake Family Dentistry

  • General Practice Dentistry
  • Chula Vista, CA
  • NPI 1508912858
  NPD (past)

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1861317745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 GATE ONE PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919142628",
            "telephone_number": "619-600-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EASTLAKE PKWY STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143561",
            "telephone_number": "619-482-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1339 Third Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919114302",
            "country_code": "US",
            "telephone_number": "619-426-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 E H St Ste 1409",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919107488",
            "country_code": "US",
            "telephone_number": "619-691-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROON",
        "first_name": "ILEANA",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Marin Estrada
• Marites L. Sotto, DDS, Inc.
• Maroon-Lopez DDS, PC
• Carmen Denise Maroon-Lopez, DDS
• Brandon Kian Gino Maroon, DDS
• Ileana P Maroon, D.D.S
• John Maroon, DDS
• Kaitlin Niki Maroon
• Robert Edward Maroon, D.D.S.,F.I.C.O.I
• Marque Medical Clinic, Inc

• Dentist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.