David L Mahon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3360 Issued in NV

Practice address

10075 S Eastern Ave
Suite 107
Henderson, NV 89052-3974

Phone

(702) 567-0000

Fax

(702) 567-1777

NPI assigned

Oct 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• David L Mahon DDS LTD

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1093666224
  NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1740366384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 S EASTERN AVE",
            "address_2": "SUITE 107",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523974",
            "telephone_number": "702-567-0000",
            "fax_number": "702-567-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 S EASTERN AVE",
            "address_2": "SUITE 107",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523974",
            "telephone_number": "702-567-0000",
            "fax_number": "702-567-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202031",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devendranath Mahender Nath, R.PH.
• Ajeet Mahendernath, MD
• Mahendra Defonseka, MD, CHTD
• Mahgerefteh Medical PLLC
• Babak Mahgerefteh, D.O.
• Ryan Andrew Mai
• Mary L Maico, OTD, OTR/L
• Nicole Lee Maier, PHARM. D
• Michele Maioriello
• Kim Louise Maisel

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.