Kevin Ma, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

100653 Issued in CA

Practice address

221 Mount Hermon Rd Ste H
Scotts Valley, CA 95066-4038

Phone

(831) 440-1830

NPI assigned

Oct 5, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Devon Le, D.D.S, Incorporation

  • General Practice Dentistry
  • Scotts Valley, CA
  • NPI 1265396295
  NPD (past)
• John a Stevens DDS Inc

  • Dentist
  • Scotts Valley, CA
  • NPI 1902982143
  NPD (past)

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1801346630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BEAN CREEK RD UNIT 51",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664138",
            "telephone_number": "831-332-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MOUNT HERMON RD STE H",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664038",
            "telephone_number": "831-440-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "KEVIN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100653",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray A Lomeli
• Longs Drug Stores California LLC
• Avery Kiama Lopez
• Melani Lopez
• Nickola Losee, P.T.
• Meilani Ma
• Serena May Maguire Yazdani, D.C.
• Katie Mai, PPS
• Mama Bees Doula
• Jennifer Marini

• Dentist in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.