Active NPI
Maher Nakoud, D.D.S.
- Dentist
- Granada Hills, CA
National Provider Identifier
1780804328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47529
- Practice address
- 11856 1-8 Balboa Blvd
Granada Hills, CA 91344 - Phone
- (818) 366-0001
- Fax
- (818) 366-1755
- NPI assigned
- Apr 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 47529 | CA | Primary |
Addresses
Primary practice location
11856 1-8 Balboa Blvd
Granada Hills, CA 91344
Mailing address
11856 1/8 Balboa Blvd.
Granada Hills, CA 91344
Phone (818) 366-0001
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 |
|---|---|---|---|
| 47529 | CA | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780804328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11856 1/8 BALBOA BLVD.",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "91344",
"telephone_number": "818-366-0001",
"fax_number": "818-366-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11856 1-8 BALBOA BLVD",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "91344",
"telephone_number": "818-366-0001",
"fax_number": "818-366-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKOUD",
"first_name": "MAHER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
- My2Cents Recovery Inc
- Christopher Myers, COTA
- N & K Non-Emergency Medical Transportation LLC
- Morris Katsuyoshi Nakamura, DDS
- Jiselle Nakoud, DDS
- Steve Naltsas, M.D.
- Nara's Residential Care Inc (Nara's Residential Care)
- Atosa Nazemi, PHARM.D
- Ndubuisi O Chijioke (Commonwealth Medical Supply Company)
- Neeraj Patel MD Inc
Sources for this page
- 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.