Active NPI
Jose Eduardo Molina, D.D.S
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1154792968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 64712
- Practice address
- 5492 N Palm Ave
Fresno, CA 93704-1959 - Phone
- (559) 435-3113
- Fax
- (559) 435-5785
- NPI assigned
- Oct 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 64712 | CA | Primary |
Addresses
Primary practice location
5492 N Palm Ave
Fresno, CA 93704-1959
Mailing address
6303 W Thompson Ave
Visalia, CA 93291-9784
Phone (559) 346-8031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64712 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose Eduardo Molina, DDS Inc. | General Practice | Current | Accepting new patients |
| J E Molina DDS Inc. | General Practice | Current | Accepting new patients |
Locations
31985 Lodge Rd
#101
Auberry, CA 93602
Phone (559) 855-8331
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Fresno, CA
- NPI 1073103032
-
- General Practice Dentistry
- Auberry, CA
- NPI 1437749496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1154792968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 W THOMPSON AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932919784",
"telephone_number": "559-346-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5492 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041959",
"telephone_number": "559-435-3113",
"fax_number": "559-435-5785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "JOSE",
"middle_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "64712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.