Individual provider Active NPI

Maysoon M Saeed, DDS

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1174653687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50819 Issued in CA
Practice address
710 S Brookhurst St Ste K
Anaheim, CA 92804-4321
Phone
(714) 758-0778
Fax
(714) 758-0758
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50819 CA Primary

Addresses

Primary practice location

710 S Brookhurst St Ste K
Anaheim, CA 92804-4321

Mailing address

710 S Brookhurst St Ste K
Anaheim, CA 92804-4321
Phone (714) 758-0778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206002442 CA Order and Referring Only - DentistPractitioner - Dentist 8820378987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50819CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Maysoon Saeed DDS Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174653687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST STE K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-758-0778",
            "fax_number": "714-758-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST STE K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-758-0778",
            "fax_number": "714-758-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEED",
        "first_name": "MAYSOON",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.