Active NPI
Mayada Shmara, DDS
- Dentist
- Orange, CA
National Provider Identifier
1770819807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58626
- Practice address
- 7059 E Magdalena Dr
Orange, CA 92867-6424 - Phone
- (714) 281-3220
- NPI assigned
- Oct 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58626 | CA | Primary |
Addresses
Primary practice location
7059 E Magdalena Dr
Orange, CA 92867-6424
Mailing address
7059 E Magdalena Dr
Orange, CA 92867-6424
Phone (714) 281-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58626 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256256000000",
"number": "1770819807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7059 E MAGDALENA DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928676424",
"telephone_number": "714-281-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7059 E MAGDALENA DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928676424",
"telephone_number": "714-281-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHMARA",
"first_name": "MAYADA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-23",
"last_updated": "2009-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.