Michelle M. Mahour DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

4714 Issued in CA

Legal business name

MICHELLE M. MAHOUR DDS PC

Practice address

22393 N 76TH Dr
Peoria, AZ 85383-2117

Phone

(623) 362-9269

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Marie Mahour, DDSNPI 1215147574

Title

President

Phone

(623) 362-9269

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Marie Mahour, DDS

  • Dentist
  • Peoria, AZ
  • NPI 1215147574
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225248594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22393 N 76TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832117",
            "telephone_number": "623-362-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22393 N 76TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832117",
            "telephone_number": "623-362-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE M. MAHOUR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHOUR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-362-9269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "4714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH Health Care Services, PC
• Camille Miake, PHARM.D.
• Michael a Hart PLLC
• Emilie Michael, PMHNP-BC, FNP-C
• Danielle Michalak, LPN
• Walter Honorio Migotto, M.D.
• Amanda Lynn Mihalo, LCSW
• Lisa Dianne Mihora, MD
• Svetiana Mijalski
• Chantel Marie Miladinovic

• Dentist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.