J MAROON DDS INC (NPI# 1063801025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063801025 |
| Entity Type | Organization |
| Organization Name | J MAROON DDS INC |
| Other Organization Name | ENCINITAS DENTAL CENTER |
| Practice Address |
257 N El Camino Real Ste B Encinitas CA 92024-5365 |
| Practice Telephone | 7609447600 |
| Practice Fax Number | 7609447610 |
| Mailing Telephone | 7609447600 |
| Mailing Fax Number | 7609447610 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | DR. JOHN MAROON (OWNER/DOCTOR) |
| Authorized Official Telephone | 7609447600 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 40671 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Encinitas Dental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740602283 | J Maroon Dds Inc | Dentist | 2168 Balboa Ave Ste 1, San Diego, CA 92109-4600 | 2014-01-17 |
| Street Address |
257 N EL CAMINO REAL STE B |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-5365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565043 | Christopher Demeyer | Dentist | 1340 Encinitas Blvd Unit 100, Encinitas, CA 92024-2844 | 2019-09-03 |
| 1659744639 | Su Gao | Dentist | 199 N El Camino Real, Suite E, Encinitas, CA 92024-2803 | 2015-11-12 |
| 1295113736 | Corey Roberson | Dentist | 1340 Encinitas Blvd Ste 100, Encinitas, CA 92024-2844 | 2015-05-17 |
| 1578958823 | Todd Morgan Dental Corporation | Dentist | 320 Sante Fe Drive, Suite 105, Encinitas, CA 92024 | 2015-04-03 |
| 1275946501 | Farhad Dena | Dentist | 1403 Encintas Blvd., Suite D, Encinitas, CA 92024 | 2014-06-04 |
| 1699052845 | Mark Thomas Galli | Dentist | 171 Calle Magdalena, Ste 102, Encinitas, CA 92024-3745 | 2011-11-15 |
| 1043522709 | Mark E Loomis | Dentist | 4455 Manchester Ave, Encinitas, CA 92024-4934 | 2010-07-10 |
| 1417141151 | Beth Sandra Forman | Dentist | 679 Encinitas Blvd, Suite 209, Encinitas, CA 92024-3761 | 2007-09-05 |
| 1811198823 | Diemphi Nguyen | Dentist | 1610 Willowhaven Rd, Encinitas, CA 92024-5646 | 2007-05-29 |
| 1609089416 | Mario A Godinez | Dentist | 345 Saxony Road Suite 103, Encinitas, CA 92024 | 2007-05-08 |
| Find all providers in ENCINITAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.