Individual provider Active NPI

Barbara L Mallonee, D.D.S.

  • General Practice Dentistry
  • Corona del Mar, CA
National Provider Identifier
1609964451
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29167 Issued in CA
Practice address
2121 E. Coast Highway
Suite 140
Corona del Mar, CA 92625-1959
Phone
(949) 640-0222
Fax
(949) 640-0333
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29167 CA Primary

Addresses

Primary practice location

2121 E. Coast Highway
Suite 140
Corona del Mar, CA 92625-1959

Mailing address

2121 E. Coast Highway
Suite 140
Corona del Mar, CA 92625-1959
Phone (949) 640-0222

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Khjavid and Mnadi Dental Corp General Practice CurrentSince Mar 21, 2021 Accepting new patients

Locations

2121 E Coast Hwy
Ste 140
Corona del Mar, CA 92625
Phone (949) 640-0222

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1609964451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E. COAST HIGHWAY",
            "address_2": "SUITE 140",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251959",
            "telephone_number": "949-640-0222",
            "fax_number": "949-640-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E. COAST HIGHWAY",
            "address_2": "SUITE 140",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251959",
            "telephone_number": "949-640-0222",
            "fax_number": "949-640-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLONEE",
        "first_name": "BARBARA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.