Paul Fillet, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28312 Issued in CA

Practice address

2420 San Ramon Valley Blvd
San Ramon, CA 94583-1602

Phone

(925) 820-6541

Fax

(925) 820-1618

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gurjit Randhawa Dental Practice Inc

  • Dental Clinic/Center
  • San Ramon, CA
  • NPI 1881284305
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063533271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 SAN RAMON VALLEY BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831602",
            "telephone_number": "925-820-6541",
            "fax_number": "925-820-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 SAN RAMON VALLEY BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831602",
            "telephone_number": "925-820-6541",
            "fax_number": "925-820-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLET",
        "first_name": "PAUL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faranak Sarajzadeh Fiedler, M.D.
• Robert Bruce Field, PH.D.
• Josefina Fierros
• Yakira Figg
• Ronald W. Filice I, D.D.S.
• Akanesi Finau
• Jacqie Deja Fincher
• Aylin Melis Firat
• Danielle Lustig Fitch, MA, LMFT
• Bradford Todd Flagg, M.D.

• General Practice Dentistry in San Ramon, CA
• Providers in San Ramon, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.