Organization Active NPI

Raji Haddad D.D.S. Inc. Dba First Family Dental

  • Dentist
  • Fresno, CA
National Provider Identifier
1003254335
Registry record updated Jun 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39001 Issued in CA
Legal business name
RAJI HADDAD D.D.S. INC. DBA FIRST FAMILY DENTAL
Practice address
310 W Shaw Ave
Fresno, CA 93704-2646
Phone
(559) 229-8200
NPI assigned
Jun 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2013

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

Authorized official

Name
Raji Haddad, DDSNPI 1922132216
Title
Presedant
Phone
(559) 229-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39001 CA Primary

Addresses

Primary practice location

310 W Shaw Ave
Fresno, CA 93704-2646

Mailing address

310 W Shaw Ave
Fresno, CA 93704-2646
Phone (559) 229-8200

Other identifiers 1

IdentifierTypeStateIssuer
39001OtherCAGENERAL DENTISTRY

National Provider Directory

National Provider Directory

Locations

310 W Shaw Ave
Fresno, CA 93704
Phone (559) 229-8200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370736000000",
    "number": "1003254335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042646",
            "telephone_number": "559-229-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042646",
            "telephone_number": "559-229-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJI HADDAD D.D.S. INC. DBA FIRST FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-09",
        "last_updated": "2013-06-09",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "RAJI",
        "authorized_official_title_or_position": "PRESEDANT",
        "authorized_official_telephone_number": "559-229-8200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "39001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2013; 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.