Active NPI
Maher Awwad, DDS
- Dentist
- Temecula, CA
National Provider Identifier
1609936541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46741
- Practice address
- 44066 Margarita Rd
Suite 1
Temecula, CA 92592-2779 - Phone
- (951) 302-6222
- Fax
- (951) 302-2422
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- 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 | 46741 | CA | Primary |
Addresses
Primary practice location
44066 Margarita Rd
Suite 1
Temecula, CA 92592-2779
Mailing address
32852 Falmouth CT
Menifee, CA 92584-7641
Phone (951) 315-7033
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 |
|---|---|---|---|
| 46741 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian Park, DDS, Inc. | Past | Accepting new patients |
Interoperability endpoints
- mawwad@direct.westerndental.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Temecula, CA
- NPI 1033872114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1609936541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32852 FALMOUTH CT",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925847641",
"telephone_number": "951-315-7033",
"fax_number": "951-302-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44066 MARGARITA RD",
"address_2": "SUITE 1",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925922779",
"telephone_number": "951-302-6222",
"fax_number": "951-302-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWWAD",
"first_name": "MAHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.