Organization Active NPI

Mattar Dental Inc

  • Dental Clinic/Center
  • Anaheim, CA
National Provider Identifier
1174031710
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
62382 Issued in CA
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

Updated by the provider on Jan 16, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.