Active NPI
Mattar Dental Inc
- Dental Clinic/Center
- Anaheim, CA
National Provider Identifier
1174031710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 62382
- Legal business name
- MATTAR DENTAL INC
- Practice address
- 1221 N Euclid St
Anaheim, CA 92801-1954 - Phone
- (714) 491-2732
- Fax
- (714) 491-9244
- NPI assigned
- Jan 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dina Mattar, DDS
- Title
- Owner
- Phone
- (714) 491-2732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 62382 | CA | Primary |
Addresses
Primary practice location
1221 N Euclid St
Anaheim, CA 92801-1954
Mailing address
1221 N Euclid St
Anaheim, CA 92801-1954
Phone (714) 491-2732
National Provider Directory
National Provider DirectoryLocations
1221 N Euclid St
Anaheim, CA 92801
Phone (714) 491-2732
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Anaheim, CA
- NPI 1376973008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673827200000",
"number": "1174031710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011954",
"telephone_number": "714-491-2732",
"fax_number": "714-491-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011954",
"telephone_number": "714-491-2732",
"fax_number": "714-491-9244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTAR DENTAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-17",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A",
"authorized_official_last_name": "MATTAR",
"authorized_official_first_name": "DINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-491-2732",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "62382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.