Christina Maldonado, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

58032 Issued in CA

Practice address

10602 Chapman Ave Ste 200
Garden Grove, CA 92840-3147

Phone

(714) 537-0700

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Healthy Smiles for Kids of Orange County

  • Pediatric Dentistry
  • Garden Grove, CA
  • NPI 1720292949
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1326103474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3102",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926901102",
            "telephone_number": "949-722-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10602 CHAPMAN AVE STE 200",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403147",
            "telephone_number": "714-537-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508714",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Nicole Major
• Chun Keung Mak, D.C., Q.M.E., E.M.T.
• Dana Abdullah Makhlouf
• Tiffany Malas
• Buhay Malaya
• Gabrielle Alexis Maldonado
• Jasmine Arlene Maldonado
• Erin N Malec, ATC
• Gema Malfavon-Reyes, D.C.
• Saher Javed Malik, LCSW

• Pediatric Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.