Maher Albouz, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

46013 Issued in CA

Practice address

639 E Foothill Blvd Ste a
San Dimas, CA 91773-1253

Phone

(909) 599-2029

NPI assigned

Jun 18, 2007

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maher Al-Bouz Dental Corp

  • Public Health Dentistry
  • San Dimas, CA
  • NPI 1861701971

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033314232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22062 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641645",
            "telephone_number": "818-676-1485",
            "fax_number": "818-676-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 E FOOTHILL BLVD STE A",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731253",
            "telephone_number": "909-599-2029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22062 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913641645",
            "country_code": "US",
            "telephone_number": "818-676-1485",
            "fax_number": "818-676-1489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBOUZ",
        "first_name": "MAHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aileen C Luna Dental Corp
• Erika Akpa
• Mohammad Am Al-Baghdadi, M.D.
• Juan Alba-Rincon
• Albertsons LLC
• Jonathon Michael Alcantara
• Sarah Nicole Aldama
• Michelle Carol Alejandrez
• Mario Rene Aleman, D.D.S.
• Kemi Alemoh

• Dentist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.