Individual provider Active NPI

Maitham Alaayedi

  • Dentist
  • Escondido, CA
National Provider Identifier
1619554276
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108552 Issued in CA
Practice address
910 E Ohio Ave Ste 201
Escondido, CA 92025-3440
Phone
(832) 873-9818
NPI assigned
Mar 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 26498 FL
Dentist 122300000X DN26498 FL
Dentist 122300000X 108552 CA Primary

Addresses

Primary practice location

910 E Ohio Ave Ste 201
Escondido, CA 92025-3440

Mailing address

310 A St Apt 1909
San Diego, CA 92101-4318
Phone (832) 873-9818

Other practice location 1

1580 N Broadway Ave
Bartow, FL 33830
Phone (863) 800-9097

Other practice location 2

2500 Kensington Ave
Buffalo, NY 14226-4927
Phone (171) 643-7645

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

LicenseStateTypeSpecialty
26498FLMDMental Health Counselor
108552CAMDMarriage & Family Therapist
DN26498FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1619554276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 A ST APT 1909",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014318",
            "telephone_number": "832-873-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E OHIO AVE STE 201",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253440",
            "telephone_number": "832-873-9818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 N Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "33830",
            "country_code": "US",
            "telephone_number": "863-800-9097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Kensington Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142264927",
            "country_code": "US",
            "telephone_number": "171-643-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAAYEDI",
        "first_name": "MAITHAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-28",
        "last_updated": "2023-08-09",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "26498",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26498",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.