Maksim Dentistry, Apc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MAKSIM DENTISTRY, APC

Practice address

630 S Melrose Dr
Vista, CA 92081-6624

Phone

(760) 726-5703

Fax

(760) 726-5704

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Michael MaksimNPI 1871615310

Title

Cfo

Phone

(760) 726-5703

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Michael Craig Maksim, D.D.S.

  • General Practice Dentistry
  • Vista, CA
  • NPI 1871615310
  NPD Authorized official
• Samuel Young, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Murrieta, CA
  • NPI 1881686285
  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1649098187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816624",
            "telephone_number": "760-726-5703",
            "fax_number": "760-726-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816624",
            "telephone_number": "760-726-5703",
            "fax_number": "760-726-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKSIM DENTISTRY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "MAKSIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-726-5703"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Mahl-Sansone, M.D., INC.
• Mahtab & Hossein Saadatmandi a Dental Corp (Premier Dental Arts)
• Lindsay Noelle Maisey, LMFT
• Majella Assisted Living, LLC
• Christine Natalie Majocha, RD, IBCLC
• Michael Craig Maksim, D.D.S.
• Ashley Marie Maldonado
• Britzel Maldonado
• Elsy Jacqueline Maldonado
• Charles Maletz, M.D.

• Dentist in Vista, CA
• Providers in Vista, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.