Mohammad Abul-Fielat DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

43302 Issued in CA

Legal business name

MOHAMMAD ABUL-FIELAT DDS INC

Practice address

12828 Harbor Blvd Ste 210
Garden Grove, CA 92840-5834

Phone

(714) 741-3200

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Mohammad Fielat, DDS

Title

Dentist

Phone

(951) 688-5437

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1134610454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 VAN BUREN BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034214",
            "telephone_number": "951-688-5737",
            "fax_number": "951-688-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BLVD STE 210",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405834",
            "telephone_number": "714-741-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD ABUL-FIELAT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "FIELAT",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-688-5437",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "43302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mai Moiseshyn, PA

• Pediatric Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.