Goodman Maa DDS

Primary specialty

DentistTaxonomy code 122300000X

License

44460 Issued in CA

Legal business name

GOODMAN MAA DDS

Practice address

8654B on the Mall # 154B
Buena Park, CA 90620-3232

Phone

(714) 826-2525

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Goodman Chester Maa, DDS

Title

Owner

Phone

(714) 826-2525

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1205229614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8654B ON THE MALL # 154B",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203232",
            "telephone_number": "714-826-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8654B ON THE MALL # 154B",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203232",
            "telephone_number": "714-826-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN MAA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "MAA",
        "authorized_official_first_name": "GOODMAN",
        "authorized_official_middle_name": "CHESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-826-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "D44460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Gomez, RN
• Susana Gomez, OTR/L
• Richard Gonzales, MD
• Bernarda Brenda Gonzalez
• Edgardo Gonzalez, M.D
• Claire Goodman, RN
• Bahram Goshtasbi, D.C.
• Grace Medical Ipa
• Greater Anaheim Special Education Local Plan Area
• Heather A Guay, MFTI

• Dentist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.