Maddatu Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

55562 Issued in CA

Legal business name

MADDATU DENTAL CORPORATION

Doing business as

Titus Dental Office

Practice address

14547 Titus St Ste 207
Panorama City, CA 91402-4932

Phone

(818) 785-4282

Fax

(818) 785-8704

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan L Maddatu, DDS

Title

Dentist/ Owner

Phone

(818) 785-4282

Specialties & licenses 1

Addresses

Other names 1

• Titus Dental Office Doing business as

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432944000000",
    "number": "1962893115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14547 TITUS ST STE 207",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024932",
            "telephone_number": "818-785-4282",
            "fax_number": "818-785-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14547 TITUS ST STE 207",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024932",
            "telephone_number": "818-785-4282",
            "fax_number": "818-785-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDATU DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-05-30",
        "status": "A",
        "authorized_official_last_name": "MADDATU",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "818-785-4282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Titus Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ron Collado Macadangdang
• Lois E Macdonald, CRNA
• Heidi Machen, CRNA
• Maxine Mack
• Andrea Mackey
• Buenaventura Tabayoyong Madriaga Jr., RCP
• Stephanie Ayroso Madridejos, FNP-C, FNP-BC
• Maga Home Health, Inc.
• Nancy Magnante, PHARMD
• Thomas J. Magner, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; 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.