Individual provider Active NPI

Maya Taifour, DDS

  • Dentist
  • Anaheim, CA
National Provider Identifier
1407576010
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107936 Issued in CA
Practice address
2886 W Devoy Dr
Anaheim, CA 92804-3981
Phone
(714) 925-2537
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 107936 CA Primary

Addresses

Primary practice location

2886 W Devoy Dr
Anaheim, CA 92804-3981

Mailing address

2886 W Devoy Dr
Anaheim, CA 92804-3981
Phone (714) 925-2537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321001940 CA Order and Referring Only - DentistPractitioner - Dentist 8022482769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107936CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1407576010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 W DEVOY DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043981",
            "telephone_number": "714-925-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2886 W DEVOY DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043981",
            "telephone_number": "714-925-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIFOUR",
        "first_name": "MAYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "107936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.