Maverick Bani, D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAVERICK BANI, D.D.S., INC.

Practice address

709 N Lake Ave
Pasadena, CA 91104-4558

Phone

(626) 797-8900

NPI assigned

Sep 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Maverick Bani, DDSNPI 1225612443

Title

President

Phone

(310) 993-0417

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maverick Bani

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1225612443
  NPD Authorized official
• Afaf Ezzat Iskander, DDS

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1891856589
  NPD (past)

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1124853072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N ARDEN DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103510",
            "telephone_number": "310-993-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044558",
            "telephone_number": "626-797-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK BANI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "BANI",
        "authorized_official_first_name": "MAVERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-993-0417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Renee Matute, M.S.
• Joram Michael Matute, M.A.
• Andreas Christoph Mauer, M.D.
• Holly Michelle Maughn, BA
• Latasha Mauldin
• Max R Lehfeldt M D AMC
• Max Rudolph Lehfeldt, M.D., a Medical Corporation
• Maximal Help Home Health Inc
• Maximum Home Care Services
• Maximum Hospice and Palliative Care, Inc.

• Dental Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.