Individual provider Active NPI

Maamon Alkaseer

  • Dentist
  • El Cajon, CA
National Provider Identifier
1992112940
Registry record updated May 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63417 Issued in CA
Practice address
767 Jamacha Rd
El Cajon, CA 92019-3202
Phone
(619) 401-3214
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30328 TX
Dentist 122300000X 63417 CA Primary

Addresses

Primary practice location

767 Jamacha Rd
El Cajon, CA 92019-3202

Mailing address

767 Jamacha Rd
El Cajon, CA 92019-3202
Phone (619) 401-3214

Other practice location 1

2050 E Algonquin Rd
610
Schaumburg, IL 60173-4144
Phone (847) 701-1457

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
63417CAMDDentist
30328TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James W Loye DDS PC Past Accepting new patients
Mina Abdullah DDS Inc Dentist Past Accepting new patients
Abdullah Dental Corp PastSince Nov 19, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557014400000",
    "number": "1992112940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 JAMACHA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193202",
            "telephone_number": "619-401-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 JAMACHA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193202",
            "telephone_number": "619-401-3214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 E Algonquin Rd",
            "address_2": "610",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734144",
            "country_code": "US",
            "telephone_number": "847-701-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKASEER",
        "first_name": "MAAMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2019-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30328",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2019; 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.