NPIMap

Organization Active NPI

Mai Dental Corporation

Doing business as Alicia Parkway Dental

  • General Practice Dentistry
  • Laguna Hills, CA
National Provider Identifier
1912304619
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63879 Issued in CA
Legal business name
MAI DENTAL CORPORATION
Doing business as
Alicia Parkway Dental
Practice address
25401 Alicia Pkwy Ste J
Laguna Hills, CA 92653-4958
Phone
(949) 587-3010
NPI assigned
Nov 24, 2014
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Victor Vu Mai, DMDNPI 1275875619
Title
DMD/Owner
Phone
(949) 587-3010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63879 CA Primary

Addresses

Primary practice location

25401 Alicia Pkwy Ste J
Laguna Hills, CA 92653-4958

Mailing address

25401 Alicia Pkwy Ste J
Laguna Hills, CA 92653-4958
Phone (949) 587-3010

Other names 1

  • Alicia Parkway Dental Doing business as

National Provider Directory

National Provider Directory

Locations

25401 Alicia Pkwy
Ste J
Laguna Hills, CA 92653
Phone (949) 587-3010

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1912304619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 ALICIA PKWY STE J",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534958",
            "telephone_number": "949-587-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 ALICIA PKWY STE J",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534958",
            "telephone_number": "949-587-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "VU",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "949-587-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alicia Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.