Active NPI
Ronald A Maeda, DDS INC
- Dentist
- Garden Grove, CA
National Provider Identifier
1972661007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19358
- Practice address
- 9872 Chapman Ave
Suite 206
Garden Grove, CA 92841-2733 - Phone
- (714) 638-5630
- Fax
- (714) 638-5632
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19358 | CA | Primary |
Addresses
Primary practice location
9872 Chapman Ave
Suite 206
Garden Grove, CA 92841-2733
Mailing address
9872 Chapman Ave
Suite 206
Garden Grove, CA 92841-2733
Phone (714) 638-5630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1972661007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9872 CHAPMAN AVE",
"address_2": "SUITE 206",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412733",
"telephone_number": "714-638-5630",
"fax_number": "714-638-5632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9872 CHAPMAN AVE",
"address_2": "SUITE 206",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412733",
"telephone_number": "714-638-5630",
"fax_number": "714-638-5632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAEDA",
"first_name": "RONALD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS INC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "19358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.