Organization Active NPI

Maleeh Orthodontics DDS Ms, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Victorville, CA
National Provider Identifier
1619417615
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MALEEH ORTHODONTICS DDS MS, INC.
Doing business as
Maleeh Orthodontics
Practice address
12587 Hesperia Rd Ste a
Victorville, CA 92395-8308
Phone
(760) 964-8963
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Dr. Imad Maleeh, DDS MSNPI 1295260768
Title
President/Owner
Phone
(760) 964-8963

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

12587 Hesperia Rd Ste a
Victorville, CA 92395-8308

Mailing address

20139 Yucca Loma Rd
Apple Valley, CA 92307-5626
Phone (760) 964-8963

Other practice location 1

20139 Yucca Loma Rd
Apple Valley, CA 92307-5626
Phone (760) 964-8963

Other names 1

  • Maleeh Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

12587 Hesperia Rd
Ste A
Victorville, CA 92395
Phone (760) 951-7752

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1619417615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20139 YUCCA LOMA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075626",
            "telephone_number": "760-964-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12587 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958308",
            "telephone_number": "760-964-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20139 Yucca Loma Rd",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923075626",
            "country_code": "US",
            "telephone_number": "760-964-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MALEEH ORTHODONTICS DDS MS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "MALEEH",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "760-964-8963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maleeh Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.