Fielat Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FIELAT DENTAL CORPORATION

Practice address

6102 Orbis Way Ste#520
Eastvale, CA 92880-3867

Phone

(951) 688-5437

Fax

(951) 848-0904

NPI assigned

Sep 27, 2022

Reactivated

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Mohammad G Abul-Fielat

Title

Owner/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": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1154045870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 ORBIS WAY STE #520",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "92880",
            "telephone_number": "951-688-5437",
            "fax_number": "951-848-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 ORBIS WAY STE#520",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803867",
            "telephone_number": "951-688-5437",
            "fax_number": "951-848-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELAT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-02-16",
        "certification_date": "2023-05-03",
        "deactivation_date": "2023-03-28",
        "reactivation_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "ABUL-FIELAT",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "951-688-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Veronica Njeri Erastus
• Family Care Solutions
• Lany Lladones Fisk
• Jennifer Forbess, M.ED.
• Rheeza Fueconcillo, O.D.
• Sarah Gabb
• Karina Birung Gabriel, DPT

• Pediatric Dentistry in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.