FLAVIO PESSOA DE MELO MAIA
NPI 1366235673
Dentist in Los Angeles, CA

Q: What is Flavio Maia's NPI number?

The NPI number for Flavio Maia is 1366235673. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Q: What is Flavio Maia's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Flavio Maia was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 28, 2025PECOS Enrolled

1530 S OLIVE ST, LOS ANGELES, CA 90015(213) 747-5542(213) 747-3968 Get Directions Write a Review

NPPES record last updated: August 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, May 28, 2025 (2 updates tracked since 2025).

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About Flavio Pessoa De Melo Maia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLAVIO PESSOA DE MELO MAIA (NPI 1366235673) is an individual dentist in Los Angeles, California, licensed in California (DDS112142) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366235673

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameFLAVIO PESSOA DE MELO MAIA

Location Address1530 S OLIVE STLos Angeles, CA 90015-3023

Mailing Address1530 S Olive StLos Angeles, CA 90015-3023 · (213) 747-5542

Phone(213) 747-5542

Fax(213) 747-3968

Sole ProprietorYes

Enumeration DateMay 28, 2025

Last NPPES UpdateAugust 2, 20252 updates tracked since enumeration

NPPES CertifiedAugust 2, 2025

✔ NPI 1366235673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · DDS112142✔ Licensed in IL · 019.035990

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1530 S OLIVE ST, Los Angeles, CA 90015

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Secondary Practice Locations 2

Location 115477 Ventura BlvdSherman Oaks, CA 91403-3006 · Phone (213) 747-5542

Location 23680 E Imperial Hwy Ste 200Lynwood, CA 90262-2663 · Phone (213) 747-5542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Flavio Pessoa De Melo Maia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANA MARISELA MANCILLA

Specialist/Technologist (Speech-Language Assistant)