NPIMap

Organization Active NPI

Mak and Kleiger, D.D.S.

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1275787210
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11440191 Issued in CA
Legal business name
MAK AND KLEIGER, D.D.S.
Practice address
959 E Walnut St Ste 216
Pasadena, CA 91106-5362
Phone
(626) 793-6175
Fax
(626) 793-9317
NPI assigned
Nov 4, 2008
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. Kenneth B Mak, D.D.S.NPI 1881897130
Title
Owner/Dentist
Phone
(626) 793-6175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11440191 CA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 11440191 CA

Addresses

Primary practice location

959 E Walnut St Ste 216
Pasadena, CA 91106-5362

Mailing address

959 E Walnut St Ste 216
Pasadena, CA 91106-5362
Phone (626) 793-6175

National Provider Directory

National Provider Directory

Locations

959 E Walnut St
Ste 216
Pasadena, CA 91106
Phone (626) 793-6175

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1275787210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST STE 216",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911065362",
            "telephone_number": "626-793-6175",
            "fax_number": "626-793-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST STE 216",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911065362",
            "telephone_number": "626-793-6175",
            "fax_number": "626-793-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK AND KLEIGER, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "626-793-6175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "11440191",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "11440191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.