Maged Zaky Nessim, D.D.S.,INS

Primary specialty

DentistTaxonomy code 122300000X

License

40864 Issued in CA

Practice address

3440 Atlantic Ave Ste 2
Long Beach, CA 90807-4568

Phone

(562) 424-0724

Fax

(562) 424-8433

NPI assigned

Nov 6, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Maged Zaky Nessim

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1699937375
  NPD (past) Authorized official

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1033399183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 ATLANTIC AVE STE 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074568",
            "telephone_number": "562-424-0724",
            "fax_number": "562-424-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 ATLANTIC AVE STE 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074568",
            "telephone_number": "562-424-0724",
            "fax_number": "562-424-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSIM",
        "first_name": "MAGED",
        "middle_name": "ZAKY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,INS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.