Richard a Fagin DDS a Professional Corporation

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

RICHARD A FAGIN DDS A PROFESSIONAL CORPORATION

Practice address

235 N San Mateo Dr Ste 600
San Mateo, CA 94401-2675

Phone

(650) 342-0213

Fax

(650) 342-0636

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Adam Peter Fagin, DMD, MDNPI 1740695527

Title

Surgeon

Phone

(650) 823-9606

Specialties & licenses 1

Addresses

Practitioners 1

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

• Adam Peter Fagin, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Mateo, CA
  • NPI 1740695527

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1093474819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N SAN MATEO DR STE 600",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012675",
            "telephone_number": "650-342-0213",
            "fax_number": "650-342-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N SAN MATEO DR STE 600",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012675",
            "telephone_number": "650-342-0213",
            "fax_number": "650-342-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A FAGIN DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "FAGIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "650-823-9606",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabish Javed Riaz, MD
• Alexa Ricchiuto
• Anthony Ricci
• Melissa Riccio, LCSW
• Kimberly Dawn Rich, MFT
• Richard B Morgan, MD, Inc
• Richard F. Gravina, M.D. a Medical Corporation
• Richard Hom OD
• Richard P. Carr Physical Therapy Inc
• Philip A Richardi, DPT

• Oral & Maxillofacial Surgery (D.M.D.) in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.