David Robert Maahs, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30458 Issued in CA

Practice address

640 Mill St
Half Moon Bay, CA 94019-1727

Phone

(650) 726-7581

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 28, 2016 through Mar 28, 2028

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.

• Derek H. Tang DDS Inc.

  • Dental Clinic/Center
  • Half Moon Bay, CA
  • NPI 1083244313
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336160167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MILL ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191727",
            "telephone_number": "650-726-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MILL ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191727",
            "telephone_number": "650-726-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAHS",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longs Drug Stores California LLC
• Guillermo Lopez
• Humphrey H. Lu, MD
• Sergio Arturo Lua, M.A. LMFT
• Reyna Lubach, D.P.T.
• Raul Magallon Hernandez
• Main Street Medical
• Mainstreet Medical Practice
• Vidur Malik
• Bradley Manning, PH.D.

• General Practice Dentistry in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.