Active NPI
Makeda R Jones, AEF
- Dental Assistant
- Santa Ana, CA
National Provider Identifier
1235377706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 1388
- Practice address
- 2614 W Dahl LN
Santa Ana, CA 92704-3110 - Phone
- (310) 350-4046
- NPI assigned
- Jan 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 84981 | CA | |
| Dental Assistant | 126800000X | 1388 | CA | Primary |
Addresses
Primary practice location
2614 W Dahl LN
Santa Ana, CA 92704-3110
Mailing address
2614 W Dahl LN
Santa Ana, CA 92704-3110
Phone (310) 350-4046
Other practice location 1
18700 Main St Ste 203
Huntington Beach, CA 92648-1714
Phone (714) 375-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84981 | Other | CA | CAMTC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84981 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serena T Ta Dental Corporation | 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.
-
- Dental Clinic/Center
- Huntington Beach, CA
- NPI 1659914612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1235377706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2614 W DAHL LN",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927043110",
"telephone_number": "310-350-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2614 W DAHL LN",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927043110",
"telephone_number": "310-350-4046"
}
],
"practiceLocations": [
{
"address_1": "18700 Main St Ste 203",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926481714",
"country_code": "US",
"telephone_number": "714-375-7222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MAKEDA",
"middle_name": "R",
"credential": "AEF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "84981",
"primary": false
},
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "1388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAMTC",
"identifier": "84981",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.