NPIMap

Organization Active NPI

Maissa R. Agha, D.D.S. Inc

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1740469501
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43106 Issued in CA
Legal business name
MAISSA R. AGHA, D.D.S. INC
Practice address
3441 W Ball Rd
Suite a
Anaheim, CA 92804-3723
Phone
(714) 827-3441
Fax
(714) 827-0232
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Miss Maissa Rstoun Agha, DDSNPI 1982792115
Title
Owner
Phone
(714) 827-3441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43106 CA Primary

Addresses

Primary practice location

3441 W Ball Rd
Suite a
Anaheim, CA 92804-3723

Mailing address

3441 W Ball Rd
Suite #a
Anaheim, CA 92804-3723
Phone (714) 827-3441

Other identifiers 1

IdentifierTypeStateIssuer
D43106-02OtherCADENTI-CAL

Other names 1

  • MAISSA R. AGHA D.D.S., INC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1740469501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 W BALL RD",
            "address_2": "SUITE #A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043723",
            "telephone_number": "714-827-3441",
            "fax_number": "714-827-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 W BALL RD",
            "address_2": "SUITE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043723",
            "telephone_number": "714-827-3441",
            "fax_number": "714-827-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISSA R. AGHA, D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "MAISSA",
        "authorized_official_middle_name": "RSTOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-827-3441",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D43106-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAISSA R. AGHA D.D.S., INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.