Individual provider Active NPI

Jean Maroun Kattar, DDS

  • Dentist
  • Azusa, CA
National Provider Identifier
1205978418
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39973 Issued in CA
Practice address
1141 E Alosta Ave
Azusa, CA 91702-2740
Phone
(626) 335-8000
Fax
(626) 335-1333
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39973 CA Primary

Addresses

Primary practice location

1141 E Alosta Ave
Azusa, CA 91702-2740

Mailing address

1141 E Alosta Ave
Azusa, CA 91702-2740
Phone (626) 335-8000

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

OrganizationSpecialtyStatusNew patients
Jean Kattar DDS Corp Dentist 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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1205978418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 E ALOSTA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022740",
            "telephone_number": "626-335-8000",
            "fax_number": "626-335-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E ALOSTA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022740",
            "telephone_number": "626-335-8000",
            "fax_number": "626-335-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTAR",
        "first_name": "JEAN",
        "middle_name": "MAROUN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.