Active NPI
Mais Abdulmajeed Hassan Al Dahan, DDS
- Dentist
- Corona, CA
National Provider Identifier
1114493343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12247
- Practice address
- 3190 Timberline Dr
Corona, CA 92882-8711 - Phone
- (213) 292-2191
- NPI assigned
- Oct 15, 2018
- Last updated
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS102896 | CA | |
| Dentist | 122300000X | 12247 | TN | Primary |
Addresses
Primary practice location
3190 Timberline Dr
Corona, CA 92882-8711
Mailing address
3190 Timberline Dr
Corona, CA 92882-8711
Phone (213) 292-2191
Other practice location 1
910 E Ohio Ave
Escondido, CA 92025-3438
Phone (760) 737-6935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS102896 | CA | MD | Dentist |
| 12247 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Hsieh and Abdelkarim Dental Corporation | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Internal Medicine Physician
- Mount Carmel, PA
- NPI 1942550116
-
dba Rancho Cucamonga Smiles Dentistry Dental Group
- General Practice Dentistry
- Rancho Cucamonga, CA
- NPI 1770928632
-
- Surgery Physician
- Danville, PA
- NPI 1255382784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1114493343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 TIMBERLINE DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928828711",
"telephone_number": "213-292-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 TIMBERLINE DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928828711",
"telephone_number": "213-292-2191"
}
],
"practiceLocations": [
{
"address_1": "910 E Ohio Ave",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920253438",
"country_code": "US",
"telephone_number": "760-737-6935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL DAHAN",
"first_name": "MAIS",
"middle_name": "ABDULMAJEED HASSAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS102896",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.