Safa Hormat Maiwand, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DD4992 Issued in NM

Practice address

2043 Sterling Ave
Menlo Park, CA 94025-6015

Phone

(702) 521-6161

NPI assigned

Mar 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1467693283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 STERLING AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256015",
            "telephone_number": "702-521-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 STERLING AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256015",
            "telephone_number": "702-521-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIWAND",
        "first_name": "SAFA",
        "middle_name": "HORMAT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Lin Magana, OTD, OTR/L, SWC
• Sharnit Maharaj
• Celia K. Maher, LCSW
• Ryan Butler Maher, M.D.
• Sageda Mahmoud-Thirucote, RPH
• Olga Maksin
• Lynda Malavanya, M.D.
• Lawrence Malcus, PH.D.
• Ana Isabel Maldonado, PHD
• May Man, PHARM D

• Dentist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.