Organization Active NPI

M K Awwad DDS Inc

  • Dentist
  • Murrieta, CA
National Provider Identifier
1295244028
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46741 Issued in CA
Legal business name
M K AWWAD DDS INC
Practice address
33050 Antelope Rd Ste 207
Murrieta, CA 92563-2491
Phone
(951) 672-6700
Fax
(951) 672-6200
NPI assigned
Sep 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Maher K Awwad, DDSNPI 1609936541
Title
C.E.O. / Dentist
Phone
(951) 315-7033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 46741 CA Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 46741 CA

Addresses

Primary practice location

33050 Antelope Rd Ste 207
Murrieta, CA 92563-2491

Mailing address

33050 Antelope Rd Ste 207
Murrieta, CA 92563-2491
Phone (951) 672-6700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295244028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33050 ANTELOPE RD STE 207",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632491",
            "telephone_number": "951-672-6700",
            "fax_number": "951-672-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33050 ANTELOPE RD STE 207",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632491",
            "telephone_number": "951-672-6700",
            "fax_number": "951-672-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M K AWWAD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AWWAD",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "C.E.O. / DENTIST",
        "authorized_official_telephone_number": "951-315-7033",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46741",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.