Individual provider Active NPI

Nuha Marooki, DMD

  • General Practice Dentistry
  • El Cajon, CA
National Provider Identifier
1942998331
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108906 Issued in CA
Practice address
11444 Via Rancho San Diego Unit 161
El Cajon, CA 92019-5250
Phone
(619) 368-3468
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 108906 CA Primary

Addresses

Primary practice location

11444 Via Rancho San Diego Unit 161
El Cajon, CA 92019-5250

Mailing address

11442 Via Rancho San Diego Unit 159
El Cajon, CA 92019-5249
Phone (619) 368-3468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003058 CA Order and Referring Only - DentistPractitioner - Dentist 5294188751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1942998331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 VIA RANCHO SAN DIEGO UNIT 159",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920195249",
            "telephone_number": "619-368-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11444 VIA RANCHO SAN DIEGO UNIT 161",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920195250",
            "telephone_number": "619-368-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROOKI",
        "first_name": "NUHA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.