Organization Active NPI

Maria Lilibeth L. Jose, DDS, Inc.

  • General Practice Dentistry
  • Hayward, CA
National Provider Identifier
1881915106
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40449 Issued in CA
Legal business name
MARIA LILIBETH L. JOSE, DDS, INC.
Practice address
26953 Mission Blvd
Suite J
Hayward, CA 94544-4156
Phone
(510) 690-9896
Fax
(510) 690-9895
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Dr. Maria Lilibeth Licayan Jose, D.D.S.NPI 1790770592
Title
President
Phone
(510) 690-9896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 40449 CA Primary

Addresses

Primary practice location

26953 Mission Blvd
Suite J
Hayward, CA 94544-4156

Mailing address

26953 Mission Blvd
Suite J
Hayward, CA 94544-4156
Phone (510) 690-9896

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1881915106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26953 MISSION BLVD",
            "address_2": "SUITE J",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945444156",
            "telephone_number": "510-690-9896",
            "fax_number": "510-690-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26953 MISSION BLVD",
            "address_2": "SUITE J",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945444156",
            "telephone_number": "510-690-9896",
            "fax_number": "510-690-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA LILIBETH L. JOSE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "MARIA LILIBETH",
        "authorized_official_middle_name": "LICAYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-690-9896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.