Individual provider Active NPI

Sharon Minh Nhat Mai, DDS

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1184496085
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS109542 Issued in CA
Practice address
8691 Salish Rd
Garden Grove, CA 92841-1903
Phone
(714) 548-0917
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 DDS109542 CA Primary

Addresses

Primary practice location

8691 Salish Rd
Garden Grove, CA 92841-1903

Mailing address

8691 Salish Rd
Garden Grove, CA 92841-1903
Phone (714) 548-0917

Other practice location 1

1225 M St
Fresno, CA 93721-1805
Phone (559) 600-8600

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

LicenseStateTypeSpecialty
DDS109542CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1184496085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8691 SALISH RD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411903",
            "telephone_number": "714-548-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8691 SALISH RD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411903",
            "telephone_number": "714-548-0917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 M St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211805",
            "country_code": "US",
            "telephone_number": "559-600-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI",
        "first_name": "SHARON",
        "middle_name": "MINH NHAT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS109542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.