NPIMap

Organization Active NPI

Mac, Maksim and Yang Dental Partnership a General Partnership

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1447653746
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35429 Issued in CA
Legal business name
MAC, MAKSIM AND YANG DENTAL PARTNERSHIP A GENERAL PARTNERSHIP
Practice address
8534 Hopseed LN
San Diego, CA 92129-4166
Phone
(240) 383-7623
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Frank Xuong Mac
Title
Doctor
Phone
(240) 383-7623

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 35429 CA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 41808 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 45585 CA

Addresses

Primary practice location

8534 Hopseed LN
San Diego, CA 92129-4166

Mailing address

8534 Hopseed LN
San Diego, CA 92129-4166
Phone (240) 383-7623

Other names 1

  • Penasquitos Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9912 Carmel Mountain Rd
San Diego, CA 92129
Phone (858) 538-9182

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1447653746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8534 HOPSEED LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294166",
            "telephone_number": "240-383-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8534 HOPSEED LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294166",
            "telephone_number": "240-383-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC, MAKSIM AND YANG DENTAL PARTNERSHIP A GENERAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "MAC",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "XUONG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "240-383-7623"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35429",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "41808",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "45585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penasquitos Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penasquitos Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.