Imad Maleeh, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

101182 Issued in CA

Practice address

12587 Hesperia Rd Ste a
Victorville, CA 92395-8308

Phone

(760) 964-8963

NPI assigned

Apr 21, 2017

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Maleeh Orthodontics DDS Ms, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Victorville, CA
  • NPI 1619417615
  NPD (past) Authorized official
• Michael L. Jacobsen, D.D.S., M.S., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Victorville, CA
  • NPI 1831103175
  NPD (past)

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1295260768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12587 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958308",
            "telephone_number": "760-964-8963",
            "fax_number": "760-951-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12587 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958308",
            "telephone_number": "760-964-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1634 Central Blvd",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785208337",
            "country_code": "US",
            "telephone_number": "760-964-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEEH",
        "first_name": "IMAD",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "32761",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "101182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkata Akhil Makarla
• Shelby Nichole Makris, PA
• Edmund John Ong Malapote, PT
• Monica Maldonado
• Maleeh Orthodontics DDS Ms, Inc.
• Majd Mamari
• Lior Manasherian-Yaccobe
• Veena Mandava, MD
• Lawrence D Mangiapane III
• Jashaun Manly

• Orthodontics and Dentofacial Orthopedics Dentistry in Victorville, CA
• Providers in Victorville, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.