Frank Xuong Mac, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

45585 Issued in CA

Practice address

NNMC
8901 Wisconsin Ave.
Bethesda, MD 20889-0001

Phone

(301) 319-4453

NPI assigned

Sep 30, 2005

Last updated

Nov 19, 2015By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro de Salud de la Comunidad de San Ysidro, Inc.

  dba San Ysidro Health Precision Park

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1124782685
  Medicare reassignment NPD
• Penasquitos Dental

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1124425830
  NPD Authorized official
• Mac Dental Corporation

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Diego, CA
  • NPI 1235649690
  Authorized official Same address or phone
• Mac, Maksim and Yang Dental Partnership a General Partnership

  dba Penasquitos Dental

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1447653746
  Authorized official Same address or phone
• Centro de Salud de la Comunidad de San Ysidro Inc

  dba San Ysidro Health Senior Dental Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1457033813
  NPD
• Centro de Salud de la Comunidad de San Ysidro, Inc.

  dba San Diego PACE Chula Vista

  • PACE Provider Organization
  • Chula Vista, CA
  • NPI 1376195040
  NPD

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1740277193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 VANFLEET CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082871",
            "telephone_number": "240-383-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NNMC",
            "address_2": "8901 WISCONSIN AVE.",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-319-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAC",
        "first_name": "FRANK",
        "middle_name": "XUONG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Lyons, D.D.S.
• M Medical Group, Inc.
• Jane Ma, MD
• Yitao Ma, MD
• Michael Rafael Mabry
• Lisa Mac, PA-C
• Jennifer Ong Oh Macalanda, M.D.
• Shawn V Macdonald, PH.D.
• Darrell Machir, PHARMD
• Joseph Maciuba, MD, MHPE

• Dentist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.