Organization Active NPI

Liu Makan Downey Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Downey, CA
National Provider Identifier
1891546560
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
LIU MAKAN DOWNEY DENTAL CORPORATION
Practice address
10601 Paramount Blvd
Downey, CA 90241-3303
Phone
(562) 459-3311
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Dr. Sirish Makan, DDSNPI 1821386285
Title
President
Phone
(310) 872-8681

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

10601 Paramount Blvd
Downey, CA 90241-3303

Mailing address

1908 Rue Le Charlene
Rancho Palos Verdes, CA 90275-6372
Phone (310) 872-8681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260202002398 CA Part B Supplier - Clinic/Group Practice 1153809983 Receives reassigned benefits from 4 practitioners
Practice locations: Downey, CA

National Provider Directory

National Provider Directory

Locations

10601 Paramount Blvd
Downey, CA 90241
Phone (562) 459-3311

Practitioners & affiliated clinicians

Practitioners 5

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": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1891546560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 RUE LE CHARLENE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756372",
            "telephone_number": "310-872-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413303",
            "telephone_number": "562-459-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIU MAKAN DOWNEY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "MAKAN",
        "authorized_official_first_name": "SIRISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-872-8681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.