Waheed M Dental of West Covina Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WAHEED M DENTAL OF WEST COVINA CORP

Practice address

1647 W Garvey Ave N
West Covina, CA 91790-2141

Phone

(516) 840-0409

NPI assigned

Jun 8, 2022

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maryam WaheedNPI 1861869976

Title

Dentist

Phone

(516) 840-0409

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryam Waheed, DDS

  • Dentist
  • Lake Forest, CA
  • NPI 1861869976
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1750010310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902141",
            "telephone_number": "516-840-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHEED M DENTAL OF WEST COVINA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "WAHEED",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-840-0409"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Voong
• Jacqueline Teresa Vrooman
• Kelly Vuong, ACSW
• Hanh-Jane Vuu
• W Dermatology West Covina Inc.
• Walgreen Co (Walgreens #09560)
• Walgreen Co. (Walgreens #09656)
• Cyrena Walker
• Gary Blaine Walker, PA-C
• Juleen Walker

• Dentist in West Covina, CA
• Providers in West Covina, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.