Faison & Faison a Professional Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

25252 Issued in CA

Legal business name

FAISON & FAISON A PROFESSIONAL DENTAL CORPORATION

Doing business as

St Francis Hospital Dental Group

Practice address

411 S Long Beach Blvd
Compton, CA 90221-3427

Phone

(310) 537-2217

Fax

(310) 537-8062

NPI assigned

Aug 25, 2005

Last updated

Aug 22, 2020By 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. Alphonso Faison, DDS

Title

Corporation Secretary

Phone

(310) 537-2217

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St Francis Hospital Dental Group Doing business as

Locations

Practitioners 2

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.

• Jari Faison, D.D.S.

  • Pediatric Dentistry
  • Compton, CA
  • NPI 1831238005
  NPD (past)
• Vivienne Esmilda Grant-Peart, D.D.S.

  • General Practice Dentistry
  • Compton, CA
  • NPI 1013100411
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154314060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213427",
            "telephone_number": "310-537-2217",
            "fax_number": "310-537-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213427",
            "telephone_number": "310-537-2217",
            "fax_number": "310-537-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAISON & FAISON A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAISON",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "310-537-2217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "37330",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "25252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B2525202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Hospital Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis G Estrada
• Roxanna Bacilia Estrada
• Explorer - 1 Ambulance Services LLC
• Janice Maria Exum, M.D.
• Lorie J Fager
• Jari Faison, D.D.S.
• Family's Wish LLC
• Marlon Farley, MD
• Brenda Faye Faulkner, PSY.D
• FC Comprehensive Healthcare a Professional Medical Corporation (FC Comprehensive Healthcare)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.