John Charlie Maveli, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29008 Issued in TX

Practice address

10993 Rincon St
Loma Linda, CA 92354-5220

Phone

(909) 754-3123

NPI assigned

Jun 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1932547072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10993 RINCON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923545220",
            "telephone_number": "909-754-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10993 RINCON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923545220",
            "telephone_number": "909-754-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVELI",
        "first_name": "JOHN",
        "middle_name": "CHARLIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29008",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessika Georges Matta, MD
• Jay Kenneth Mattheis, M.D.
• Rosemary Ann Matthess, PHYSICAL THERAPY
• Christina Marie Mattle, NP
• Allie Ann Maus, AU.D.
• David Mawad, FNP- C
• Anne Kristin Maxwell, M.D.
• Jacob Paul Maxwell, RN, DNP
• Kenneth L Maxwell II, D.O.
• William N. May, M.D.

• Dentist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.