Marisa Watanabe, D.D.S.
NPI 1124300132 · General Practice Dentistry · Tustin, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marisa Watanabe, D.D.S. is a General Practice Dentistry provider in Tustin, CA (NPI 1124300132).
Provider details
- NPI number
- 1124300132
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 58885 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2011-09-15
Frequently asked questions
- What is Marisa Watanabe's NPI number?
- Marisa Watanabe's National Provider Identifier (NPI) is 1124300132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Watanabe's specialty?
- Marisa Watanabe is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Marisa Watanabe located?
- Marisa Watanabe's practice location on file with NPPES is 1405 Montgomery St, Tustin, CA 92782-1793.
- What is Marisa Watanabe's phone number?
- The practice phone number listed in the NPPES registry for Marisa Watanabe is (714) 415-9409.
- Does Marisa Watanabe accept Medicare?
- Marisa Watanabe is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marisa Watanabe's NPI active?
- Yes — Marisa Watanabe's NPI (1124300132) is active in the NPPES registry as of the last update on 2011-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.