DR. JUANITO MADRAGA MARAVILLA D.D.S
NPI 1972711315
Dentist - General Practice in Truckee, CA

Active since May 18, 2007
10038 MEADOW WAY UNIT C, TRUCKEE, CA 96161(775) 313-7873(530) 582-5141 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Juanito Madraga Maravilla D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUANITO MADRAGA MARAVILLA D.D.S (NPI 1972711315) is an individual general practice provider in Truckee, California, licensed in California (39986) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1972711315
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUANITO MADRAGA MARAVILLACredential: D.D.S
Location Address10038 MEADOW WAY UNIT CTruckee, CA 96161-4974
Mailing Address10038 Meadow Way Unit CTruckee, CA 96161-4974 · (775) 313-7873 · Fax (530) 582-5141
Fax(530) 582-5141
Sole ProprietorYes
Enumeration DateMay 18, 2007
Last NPPES UpdateNovember 1, 2017
NPI 1972711315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 39986
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10038 MEADOW WAY UNIT C, Truckee, CA 96161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanito Maravilla's NPI number?

The NPI number for Juanito Maravilla is 1972711315. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Juanito Maravilla located?

Juanito Maravilla practices at 10038 Meadow Way Unit C, Truckee, CA 96161. The listed phone number is (775) 313-7873.

What is Juanito Maravilla's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Juanito Maravilla was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.