NPIMap

Organization Active NPI

Em Makhoul DDS, Inc.

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1447466529
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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.NPI 1851458293
Title
Dentist
Phone
(949) 364-3724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DY031948 CA Primary

Addresses

Primary practice location

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

Mailing address

27871 Medical Center Rd
Suite #105
Mission Viejo, CA 92691-6404
Phone (949) 364-3724

National Provider Directory

National Provider Directory

Locations

27871 Medical Center Rd
Ste 105
Mission Viejo, CA 92691
Phone (949) 364-3724

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • 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.