Ali Fadel Mahdy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102341 Issued in CA

Practice address

29525 Canwood St Ste 301
Agoura Hills, CA 91301-4232

Phone

(818) 706-0975

NPI assigned

Jun 17, 2016

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph Hanna DDS Inc

  dba Chatsworth Dentistry Dental Group

  • Dentist
  • Chatsworth, CA
  • NPI 1053811356
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1396195566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST STE 301",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014232",
            "telephone_number": "818-706-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHDY",
        "first_name": "ALI",
        "middle_name": "FADEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6825",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Macbrair, RD
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• Malibu California Model Drug Treatment Center, Inc (Inspire Malibu)
• Malibu California Model Drug Treatment Center,Inc (Inspire Malibu)
• Malibu Home Health Inc

• General Practice Dentistry in Agoura Hills, CA
• Providers in Agoura Hills, 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 18, 2022; 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.