Active NPI
Mahfouz M. Gereis, D.D.S.
- General Practice Dentistry
- Panorama City, CA
National Provider Identifier
1184765778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27432
- Practice address
- 8227 Van Nuys Blvd
Panorama City, CA 91402-4804 - Phone
- (818) 989-3074
- Fax
- (818) 989-3357
- NPI assigned
- Feb 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27432 | CA | Primary |
Addresses
Primary practice location
8227 Van Nuys Blvd
Panorama City, CA 91402-4804
Mailing address
8227 Van Nuys Blvd
Panorama City, CA 91402-4804
Phone (818) 989-3074
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahfouz M. Gereis DDS, Inc | General Practice | 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.
-
- General Practice Dentistry
- Panorama City, CA
- NPI 1568766012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184765778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8227 VAN NUYS BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024804",
"telephone_number": "818-989-3074",
"fax_number": "818-989-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8227 VAN NUYS BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024804",
"telephone_number": "818-989-3074",
"fax_number": "818-989-3357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEREIS",
"first_name": "MAHFOUZ",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "27432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.