Em Makhoul DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DY031948 Issued in CA

Legal business name

EM MAKHOUL DDS, INC.

Practice address

27871 Medical Center Rd
Suite #105
Mission Viejo, CA 92691-6404

Phone

(949) 364-3724

Fax

(949) 364-0729

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elie Makhoul, D.D.S.

Title

Dentist

Phone

(949) 364-3724

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1447466529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD",
            "address_2": "SUITE #105",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916404",
            "telephone_number": "949-364-3724",
            "fax_number": "949-364-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD",
            "address_2": "SUITE #105",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916404",
            "telephone_number": "949-364-3724",
            "fax_number": "949-364-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM MAKHOUL DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "MAKHOUL",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-364-3724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DY031948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, 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 17, 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.