MHD Hazem Makhsida, DDS. MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

56430 Issued in CA

Practice address

9765 Sierra Ave
Fontana, CA 92335-6711

Phone

(909) 427-0201

Fax

(909) 427-8719

NPI assigned

Jan 21, 2008

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

Interoperability endpoints

• Direct secure messaging: mmakhsida@direct.westerndental.com

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1508042599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9765 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356711",
            "telephone_number": "909-427-0201",
            "fax_number": "909-427-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9765 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356711",
            "telephone_number": "909-427-0201",
            "fax_number": "909-427-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHSIDA",
        "first_name": "MHD HAZEM",
        "name_prefix": "Dr.",
        "credential": "DDS. MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "56430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Hernandez Maiava, PHARMD
• Rahul Maini, MD
• Kathryn Maiorano, PA-C
• Carly Denise Maitlen, RD
• Jason Mak, MD
• Smita Malhotra, M.D.
• Jeremiah Matthew Malins
• Jennifer Lynn Malone
• Valencia Malone
• Ruth Ann Maloney, M.F.T.

• Orthodontics and Dentofacial Orthopedics Dentistry in Fontana, CA
• Providers in Fontana, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.