Active NPI
Mayra Monteiro de Oliveira, DDS
- Dentist
- North Hills, CA
National Provider Identifier
1508697665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110436
- Practice address
- 9119 Haskell Ave
North Hills, CA 91343-3121 - Phone
- (818) 747-3014
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 110436 | CA | Primary |
Addresses
Primary practice location
9119 Haskell Ave
North Hills, CA 91343-3121
Mailing address
3175 S Sepulveda Blvd Apt 304
Los Angeles, CA 90034-4218
Phone (818) 747-3014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110436 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1508697665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 S SEPULVEDA BLVD APT 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900344218",
"telephone_number": "818-747-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 HASKELL AVE",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913433121",
"telephone_number": "818-747-3014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEIRO DE OLIVEIRA",
"first_name": "MAYRA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.