NPIMap

Organization Active NPI

J E Molina DDS Inc.

Doing business as Molina Dentistry

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1073103032
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
J E MOLINA DDS INC.
Doing business as
Molina Dentistry
Practice address
1406 E Alluvial Ave # 102
Fresno, CA 93720-2606
Phone
(559) 432-3456
Fax
(559) 369-6104
NPI assigned
Jan 24, 2021
Last updated
Jan 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Authorized official

Name
Dr. Jose Eduardo Molina, DDSNPI 1154792968
Title
General Dentist
Phone
(559) 432-3456

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1406 E Alluvial Ave # 102
Fresno, CA 93720-2606

Mailing address

1406 E Alluvial Ave # 102
Fresno, CA 93720-2606
Phone (559) 432-3456

Other names 1

  • Molina Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@fresnomolinadentistry.com Direct

National Provider Directory

National Provider Directory

Locations

1406 E Alluvial Ave
#102
Fresno, CA 93720
Phone (559) 432-3456

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1073103032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 E ALLUVIAL AVE # 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202606",
            "telephone_number": "559-432-3456",
            "fax_number": "559-369-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 E ALLUVIAL AVE # 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202606",
            "telephone_number": "559-432-3456",
            "fax_number": "559-369-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J E MOLINA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "559-432-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@fresnomolinadentistry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1406 E Alluvial Ave # 102",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937202606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Molina Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2021; 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.