Individual provider Active NPI

Mirwais Hussainy, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Ana, CA
National Provider Identifier
1003012857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
52401 Issued in CA
Practice address
2 Macarthur PL Ste 700
Santa Ana, CA 92707-7705
Phone
(714) 708-5361
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 52401 CA Primary

Addresses

Primary practice location

2 Macarthur PL Ste 700
Santa Ana, CA 92707-7705

Mailing address

2607 Moundglen LN
Spring Valley, CA 91977-6737
Phone (310) 920-1444

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
I20150819006789 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608181797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52401CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hussainy Omfs Inc Oral and Maxillofacial Surgery Current Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/124c0226-4a30-493e-919a-d360c6c85fa7/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003012857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 MOUNDGLEN LN",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919776737",
            "telephone_number": "310-920-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MACARTHUR PL STE 700",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927077705",
            "telephone_number": "714-708-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAINY",
        "first_name": "MIRWAIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.