Anne Mao, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

064757 Issued in NY

Practice address

5375 65TH PL
Maspeth, NY 11378-1637

Phone

(718) 478-6800

NPI assigned

Jul 20, 2023

Reactivated

Jun 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Iod, Inc

  • Dentist
  • Forest Hills, NY
  • NPI 1265714042

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1003596560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N 5TH ST APT 3R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493515",
            "telephone_number": "646-656-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 65TH PL",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781637",
            "telephone_number": "718-478-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10505 69th Ave",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753372",
            "country_code": "US",
            "telephone_number": "718-830-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAO",
        "first_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "deactivation_date": "2024-02-22",
        "reactivation_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Maher
• Atul Maini, M.D.
• Marinella Celine Martin Mallare, OT
• Benjamin Calma Manalac, BSPT
• Mani Vascular Surgery PLLC
• Marchese Integrative Medical Practice PC
• Robert Leonard Marchese, D.C.
• Stephanie Marchetta
• Margaret Fitzsimons DDS, PC
• Maria Campo Inc

• General Practice Dentistry in Maspeth, NY
• Providers in Maspeth, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.