Homero Mak, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40668 Issued in CA

Practice address

406 Westlake Ctr
Daly City, CA 94015-1432

Phone

(650) 991-0300

Fax

(650) 991-0281

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912049438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 WESTLAKE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 WESTLAKE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151432",
            "telephone_number": "650-991-0300",
            "fax_number": "650-991-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAK",
        "first_name": "HOMERO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Ali Mahdee
• Nejad Nasir Mahmud, M.D.
• Jessica B. Mahoney, MD
• Sophia Rafaa Majeed, PHARMD
• Gilda L Major
• Bohdan Alexander Makarewycz, M.D.
• Adele Makow, M.D
• Crystalyn Malbas
• Audrey Rose Malicdem
• Rachel L Malina, MD

• Dentist in Daly City, CA
• Providers in Daly City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.