Allen Mau, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

37703 Issued in CA

Practice address

1117 W Tokay St
Suite B
Lodi, CA 95240-3844

Phone

(209) 334-9490

NPI assigned

Oct 21, 2014

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

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.

• Yang Chai DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lodi, CA
  • NPI 1861349193
  NPD (past)

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1346644275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 W TOKAY ST",
            "address_2": "SUITE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403844",
            "telephone_number": "209-334-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 W TOKAY ST",
            "address_2": "SUITE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403844",
            "telephone_number": "209-334-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAU",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "37703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasim Masood
• Matrix Rehabilitation, Inc.
• Mykenzie Lauren Mattheis, DO
• Matthew Fava
• Matthew Kim DDS Inc
• Amanda Ellen Mauch, LE
• Abelardo Verceles Mayo, MD
• Mays Chiropractic Corp
• Mitchell Brian Mays, D.C.
• Keith Daniel McCann, LMFT

• Orthodontics and Dentofacial Orthopedics Dentistry in Lodi, CA
• Providers in Lodi, 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 Oct 21, 2014; 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.