Organization Active NPI

Tokatli Mattar Dental Corporation Inc

  • Dental Clinic/Center
  • Huntington Beach, CA
National Provider Identifier
1831804392
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOKATLI MATTAR DENTAL CORPORATION INC
Practice address
16511 Goldenwest St Ste 108
Huntington Beach, CA 92647-4484
Phone
(909) 395-6632
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Dina MattarNPI 1902244668
Title
Owner
Phone
(909) 395-6632

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

16511 Goldenwest St Ste 108
Huntington Beach, CA 92647-4484

Mailing address

16511 Goldenwest St Ste 108
Huntington Beach, CA 92647-4484
Phone (909) 395-6632

National Provider Directory

National Provider Directory

Locations

16511 Goldenwest St
Ste 108
Huntington Beach, CA 92647
Phone (909) 395-6632

Practitioners & affiliated clinicians

Practitioners 1

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": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1831804392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16511 GOLDENWEST ST STE 108",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474484",
            "telephone_number": "909-395-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16511 GOLDENWEST ST STE 108",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474484",
            "telephone_number": "909-395-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOKATLI MATTAR DENTAL CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "MATTAR",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-395-6632"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.