Infinity Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

INFINITY DENTAL GROUP

Practice address

3535 Ross Ave Ste 305
San Jose, CA 95124-3039

Phone

(408) 317-0169

Fax

(510) 405-9303

NPI assigned

Feb 16, 2022

Last updated

Apr 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leoncio Nikolay Fierro, DDSNPI 1447636527

Title

Dentist/Ceo

Phone

(408) 317-0162

Specialties & licenses 1

Addresses

Other names 1

• Leoncio N Fierro, D.D.S. Former legal business name

Practitioners 1

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.

• Leoncio Nikolay Fierro, DDS

  • Dentist
  • San Jose, CA
  • NPI 1447636527
  NPD Authorized official

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1114672342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 ROSS AVE STE 305",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243039",
            "telephone_number": "408-317-0169",
            "fax_number": "510-405-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSS AVE STE 305",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243039",
            "telephone_number": "408-317-0169",
            "fax_number": "510-405-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "FIERRO",
        "authorized_official_first_name": "LEONCIO",
        "authorized_official_middle_name": "NIKOLAY",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "408-317-0162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leoncio N Fierro, D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Leoncio N Fierro, D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Individual Kneads
• Bette Indman, EDD, MFT
• Nuredin Indris, B.A.
• Venkata Siddardha Varma Indukuri
• Nicole Puanani Ines, CPNP-PC
• Infinity Family Home Care, LLC
• Infocus Physical Therapy
• Angela Brooke Ingle, NP
• Brent Thomas Ingram, DDS
• Natalie Ingram

• Dental Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.