Marichris Damasco, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103914 Issued in CA

Practice address

397 E St Ste a
Chula Vista, CA 91910-2684

Phone

(619) 425-9930

NPI assigned

Jul 1, 2019

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

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.

• Safoura Massoumi Professional Dental Corp.

  • Pediatric Dentistry
  • Chula Vista, CA
  • NPI 1356471460
  NPD (past)
• The Safoura Massouri Professional Dental Corp

  • Pediatric Dentistry
  • Chula Vista, CA
  • NPI 1306988118
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1902468705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 STATE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013421",
            "telephone_number": "619-947-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 E ST STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102684",
            "telephone_number": "619-425-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMASCO",
        "first_name": "MARICHRIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Brandon Dager, PT
• Kalli Daggett, RN
• Jenna Michelle Dahl, DPT
• Jessica Louise Dalton
• Daisy Cube Damasco-Gutierrez, MD
• Michelle Damato, OTR/L
• Dana Copeland Reddy Rheumatology PC
• Tyler John Dandurand-Reynolds, HAD
• Catherine Dang, PMHNP
• Daniel & Max, LLC

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.