Michael Jon Maurer, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

39305 Issued in CA

Practice address

773 Broadway
El Cajon, CA 92021-4631

Phone

(619) 440-5915

Fax

(619) 440-0605

NPI assigned

Jul 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michael Maurer DDS Inc

  • Pediatric Dentistry
  • El Cajon, CA
  • NPI 1760155147
  NPD Authorized official
• Olen and Maurer Pediatric Dentistry

  • Pediatric Dentistry
  • El Cajon, CA
  • NPI 1578032439
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1831642883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214631",
            "telephone_number": "619-440-5915",
            "fax_number": "619-440-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214631",
            "telephone_number": "619-440-5915",
            "fax_number": "619-440-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "MICHAEL",
        "middle_name": "JON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "39305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Christine Mattix
• Matty Dental Group
• Ataa B Maty, NP
• Andrew Mauldin
• Christopher M Maulik, DMD
• Em L Mawi, RBT
• Maximum Healthcare LLC
• Melissa Kara Maxwell-Junge, LCSW
• Nossa Walid Maya, M.D.
• Maym DDS Inc

• Pediatric Dentistry in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.