Organization Active NPI

Michael C Mai DDS, Inc.

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1568200616
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHAEL C MAI DDS, INC.
Practice address
25571 Jeronimo Rd Ste 11
Mission Viejo, CA 92691-2726
Phone
(949) 446-4536
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Michael C Mai X, DDSNPI 1538242128
Title
Owner
Phone
(714) 873-3693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

25571 Jeronimo Rd Ste 11
Mission Viejo, CA 92691-2726

Mailing address

10468 Placer River Cir
Fountain Valley, CA 92708-7128

National Provider Directory

National Provider Directory

Locations

25571 Jeronimo Rd
Ste 11
Mission Viejo, CA 92691
Phone (949) 400-9350

Practitioners & affiliated clinicians

Practitioners 2

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": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1568200616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10468 PLACER RIVER CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25571 JERONIMO RD STE 11",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912726",
            "telephone_number": "949-446-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C MAI DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-873-3693",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jul 15, 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.

Verify at the official NPI Registry.