Maissoun Qattan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS48170 Issued in CA

Practice address

1901 Solar Dr Ste 135
Oxnard, CA 93036-0660

Phone

(805) 988-2250

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• John Abajian DDS a Professional Corporation

  • General Practice Dentistry
  • Oxnard, CA
  • NPI 1952958654
  NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1992354237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 VIA ARANDANA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930124016",
            "telephone_number": "805-312-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOLAR DR STE 135",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360660",
            "telephone_number": "805-988-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QATTAN",
        "first_name": "MAISSOUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS48170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DDS48170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ioan Mircea Puscas, D.O.
• Harika Putluri
• Charys Pyle
• Marsha M Pyne, LCSW
• Mohamud Ahmed Qadi, MD, MPH
• Heather Quaal, P.T.
• Kimberley Victoria Quesada-Albelo
• Quest Premier Medical Group a Professional Medical Corporation
• Alexandra Nicole Quezada
• Juanpaulo Gana Quiatchon

• Dentist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.