NPIMap

Organization Active NPI

Mustafa Makati DDS a Professional Corp

  • Dentist
  • Corona, CA
National Provider Identifier
1760259303
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MUSTAFA MAKATI DDS A PROFESSIONAL CORP
Practice address
2205 Vesper Cir Ste 103
Corona, CA 92879-3501
Phone
(951) 737-5540
Fax
(909) 881-2670
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Dr. Mustafa Ahmedali Makati, DDSNPI 1669511986
Title
President
Phone
(909) 289-7886

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2205 Vesper Cir Ste 103
Corona, CA 92879-3501

Mailing address

2205 Vesper Cir Ste 103
Corona, CA 92879-3501
Phone (951) 737-5540

National Provider Directory

National Provider Directory

Locations

2205 Vesper Cir
Ste 103
Corona, CA 92879
Phone (951) 737-5540

Practitioners & affiliated clinicians

Practitioners 4

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": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1760259303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 VESPER CIR STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793501",
            "telephone_number": "951-737-5540",
            "fax_number": "909-881-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 VESPER CIR STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793501",
            "telephone_number": "951-737-5540",
            "fax_number": "909-881-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAFA MAKATI DDS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "MAKATI",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "AHMEDALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-289-7886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.