Tony Daher, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DDS30334 Issued in CA

Practice address

1413 Foothill Blvd
Suite a
La Verne, CA 91750-3451

Phone

(909) 596-6779

NPI assigned

Jan 28, 2016

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tony Daher DDS Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • La Verne, CA
  • NPI 1760583124
  NPD Authorized official

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1225496771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503451",
            "telephone_number": "909-596-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503451",
            "telephone_number": "909-596-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHER",
        "first_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "30334",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS30334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexiss Gihovanna Cuevas, LPT
• John Joseph Cumiskey, D.C.
• Monica A Cummings, PT SCS
• Aleya Cunningham
• Cecilia Cusimano Murillo, MD
• Tommy L Daniel
• David & Margaret Home, Inc.
• David a Tabata D D S Inc
• David and Margaret Home, Inc.
• Joshua Davis, ATC, CSCS

• Oral and Maxillofacial Surgery (Dentist) in La Verne, CA
• Providers in La Verne, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.