Samuel R Maehara DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

18371 Issued in CA

Legal business name

SAMUEL R MAEHARA DDS INC

Practice address

17700 Pioneer Blvd
Artesia, CA 90701-4011

Phone

(562) 865-0013

Fax

(563) 860-7136

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Samuel R Maehara, DDS

Title

Dentist

Phone

(562) 865-0013

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Yerevan Movses Karagyozyan, DDS

  • General Practice Dentistry
  • Artesia, CA
  • NPI 1790965119
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1750586590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014011",
            "telephone_number": "562-865-0013",
            "fax_number": "563-860-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014011",
            "telephone_number": "562-865-0013",
            "fax_number": "563-860-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL R MAEHARA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "MAEHARA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-865-0013",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "18371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "B18371-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kenneth Neil Sall, MD
• Aaron Tan San Juan
• Joshualyn Sanchez
• Vianey Sanchez
• Darwin Santos, PT
• Roma Kristel Santos, PT

• Dentist in Artesia, CA
• Providers in Artesia, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.