Angelica Maheia, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6704 Issued in LA

Practice address

4459 Nelson Rd Ste 120
Lake Charles, LA 70605-4136

Phone

(337) 479-2273

Fax

(337) 478-2212

NPI assigned

Jul 12, 2016

Last updated

Jul 12, 2016By the provider in NPPES

Sex

Female

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

Enrolled in LA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de

  dba Calcasieu Dental Care

  • General Practice Dentistry
  • Lake Charles, LA
  • NPI 1114387404
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1881046928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 NELSON RD STE 120",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054136",
            "telephone_number": "337-479-2273",
            "fax_number": "337-478-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 NELSON RD STE 120",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054136",
            "telephone_number": "337-479-2273",
            "fax_number": "337-478-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHEIA",
        "first_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Maerhofer, D.C.
• Lindsey A Maggio, APRN- CNP
• Magnolia Behavioral Therapy, LLC
• Magnolia Medical Resources Inc
• Magnolia Pediatric Therapy, LLC
• Tashfeen Mahmood, M.D.
• Brandi A Malbrew, COTA
• Joycelynn Malbrough
• Katherine Mallet, MSN, FNP-C
• Alicia Fonda Mallett

• Dentist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.