Maxwell M Nazari DDS Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MAXWELL M NAZARI DDS INC

Practice address

355 S Lemon Ave
Walnut, CA 91789-2737

Phone

(909) 528-3594

NPI assigned

Mar 30, 2020

Organization subpart

No

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

Authorized official

Name

Maxwell Nazari, DDSNPI 1134263320

Title

Owner

Phone

(909) 528-3594

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maxwell M Nazari, DDS

  • Prosthodontics
  • Diamond Bar, CA
  • NPI 1134263320
  NPD Authorized official
• Thomas Bae, D.D.S.

  • Dentist
  • Walnut, CA
  • NPI 1467646547
  NPD (past)
• Masih Rezaei, DDS

  • General Practice Dentistry
  • Laguna Hills, CA
  • NPI 1205448149

  Multi-Specialty

  NPD (past)
• Cauleen McCarty Stepp, D.D.S.

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1023139029
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1023646791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S LEMON AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892737",
            "telephone_number": "909-528-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S LEMON AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892737",
            "telephone_number": "909-528-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL M NAZARI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "NAZARI",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-528-3594",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Adams McIntire, RN

• Oral and Maxillofacial Surgery (Dentist) in Walnut, CA
• Providers in Walnut, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.