Telal A Elmaki, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59469 Issued in CA

Practice address

6300 White LN Ste C
Bakersfield, CA 93309

Phone

(661) 827-1100

Fax

(661) 827-1117

NPI assigned

Apr 21, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jason Nguyen's Dental Corporation

  dba Crown Dental

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1649424532
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1639496318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21130 VICTORY BLVD APT A206",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "323-975-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WHITE LN STE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-827-1100",
            "fax_number": "661-827-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1826 W Ocotillo Rd Apt 239",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850151250",
            "country_code": "US",
            "telephone_number": "817-706-2863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMAKI",
        "first_name": "TELAL",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Ellis, M.D.
• Rachel Maria Ellis, RPH
• Stephenie Lynne Ellis, PHARM.D.
• Patti Ellison, RN
• Kylie Ellsworth
• Tatum Elmore, AMFT
• Jeffrey Elms, CPO
• Safwan Khaled Elqossari
• Bryan Elrod, CRNA
• Elsa T Lavadia MD Inc

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.