Active NPI
Michael S McMahan, D.M.D.
- Dentist
- Oceanside, CA
National Provider Identifier
1134390248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37872
- Practice address
- 2420 Vista Way
Ste 105
Oceanside, CA 92054-6190 - Phone
- (760) 435-1195
- Fax
- (760) 435-1168
- NPI assigned
- Mar 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37872 | CA | Primary |
Addresses
Primary practice location
2420 Vista Way
Ste 105
Oceanside, CA 92054-6190
Mailing address
2420 Vista Way
Ste 105
Oceanside, CA 92054-6190
Phone (760) 435-1195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37872 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1134390248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 VISTA WAY",
"address_2": "STE 105",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546190",
"telephone_number": "760-435-1195",
"fax_number": "760-435-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 VISTA WAY",
"address_2": "STE 105",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546190",
"telephone_number": "760-435-1195",
"fax_number": "760-435-1168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHAN",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-17",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.