Tai K. Mao, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49935 Issued in CA

Practice address

9925 Las Tunas Dr
Temple City, CA 91780-2211

Phone

(626) 286-3033

Fax

(626) 286-3661

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tai K. Mao DDS, Inc.

  • Point of Service
  • Temple City, CA
  • NPI 1598973026
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750413886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802211",
            "telephone_number": "626-286-3033",
            "fax_number": "626-286-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802211",
            "telephone_number": "626-286-3033",
            "fax_number": "626-286-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "TAI",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Lum, LCSW
• Stephen Craig Ly, PHARM.D.
• Jack T. Ma, D.D.S.
• Magic Touch Home Health Care, Inc.
• Peiwei Mai
• Gabriel Joshua Marichi I, D.C.
• Marta Blesa MD a Professional Corporation
• Kenneth Edward Martin, D.C.
• Mega Member Pharmacy
• Saul Melendez

• General Practice Dentistry in Temple City, CA
• Providers in Temple City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.