Nolan Yukito Maehara, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25589 Issued in CA

Practice address

3655 Lomita Blvd
Suite 304
Torrance, CA 90505-3931

Phone

(310) 303-3860

Fax

(310) 303-3868

NPI assigned

Nov 9, 2006

Last updated

Jan 11, 2008By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

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.

• Dawnelle Park DDS, Inc.

  • Dentist
  • Torrance, CA
  • NPI 1093252470
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1427128263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD",
            "address_2": "SUITE 304",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053931",
            "telephone_number": "310-303-3860",
            "fax_number": "310-303-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD",
            "address_2": "SUITE 304",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053931",
            "telephone_number": "310-303-3860",
            "fax_number": "310-303-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEHARA",
        "first_name": "NOLAN",
        "middle_name": "YUKITO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Madson, P.T.A.
• Atsuki Maeda, L.AC.
• Heather Maeda, OTR/L
• Meg Maeda, MD
• Sachie Kerri Maeda
• Lynn Maeyama, CMT
• John Magagna
• David Adrian Magallanes, CTS
• Sara Alejandra Magallanes, FNP
• Sylvia Magallanes

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, 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 Jan 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.