Individual provider Active NPI

Omar Mazen Alhindi, DDS

  • Dentist
  • Fresno, CA
National Provider Identifier
1023818101
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
111321 Issued in CA
Practice address
2727 W Lake Van Ness Cir
Fresno, CA 93711-7025
Phone
(559) 994-9582
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 111321 CA Primary

Addresses

Primary practice location

2727 W Lake Van Ness Cir
Fresno, CA 93711-7025

Mailing address

2727 W Lake Van Ness Cir
Fresno, CA 93711-7025
Phone (559) 994-9582

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

State licenses

LicenseStateTypeSpecialty
111321CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1023818101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W LAKE VAN NESS CIR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117025",
            "telephone_number": "559-994-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W LAKE VAN NESS CIR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117025",
            "telephone_number": "559-994-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHINDI",
        "first_name": "OMAR",
        "middle_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111321",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2025; 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.