Dr. Fernandez Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045733-1 Issued in NY

Legal business name

DR. FERNANDEZ DENTAL OFFICE

Practice address

1640 Madison St Apt 1
Ridgewood, NY 11385-3450

Phone

(718) 456-0751

Fax

(718) 418-2407

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Franklin Felipe Fernandez, DDS

Title

General Dentist

Phone

(718) 456-0751

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• no Former legal business name

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1134372196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MADISON ST APT 1",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853450",
            "telephone_number": "718-456-0751",
            "fax_number": "718-418-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MADISON ST APT 1",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853450",
            "telephone_number": "718-456-0751",
            "fax_number": "718-418-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FERNANDEZ DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "FELIPE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "718-456-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045733-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780744466",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134118581",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417946583",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "no",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Adam T Doan, D.C.
• Susan Dong
• Vincent John Dorotan
• Doru Buza MD
• Megan Downing
• Dr. P.Kim Podiatry, P.C.
• Dr. P.Kim Podiatry, P.C.
• Dr. Ravi Medical PC
• Duane Reade
• Duane Reade

• General Practice Dentistry in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.