Organization Active NPI

Maher Azzawi DDS Inc.

  • Dental Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1356404164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48228 Issued in CA
Legal business name
MAHER AZZAWI DDS INC.
Practice address
8599 Haven Ave
Suite 101
Rancho Cucamonga, CA 91730-4849
Phone
(909) 466-6710
Fax
(909) 483-5520
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maher Azzawi, DDS
Title
Ceo
Phone
(909) 466-6710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 48228 CA Primary

Addresses

Primary practice location

8599 Haven Ave
Suite 101
Rancho Cucamonga, CA 91730-4849

Mailing address

8599 Haven Ave
Suite 101
Rancho Cucamonga, CA 91730-4849
Phone (909) 466-6710

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356404164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8599 HAVEN AVE",
            "address_2": "SUITE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304849",
            "telephone_number": "909-466-6710",
            "fax_number": "909-483-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 HAVEN AVE",
            "address_2": "SUITE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304849",
            "telephone_number": "909-466-6710",
            "fax_number": "909-483-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHER AZZAWI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZZAWI",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-466-6710",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.