Active NPI
Kingsburg Smile Center
- General Practice Dentistry
- Kingsburg, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 64702
- Legal business name
- KINGSBURG SMILE CENTER
- Practice address
- 1591 Earl St
Kingsburg, CA 93631-2200 - Phone
- (559) 897-5042
- NPI assigned
- Sep 3, 2015
- Last updated
- Sep 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Behzad Mazada Fareid, DDS
- Title
- DDS/Owner
- Phone
- (559) 897-5042
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 64702 | CA | Primary |
Addresses
Primary practice location
1591 Earl St
Kingsburg, CA 93631-2200
Mailing address
1591 Earl St
Kingsburg, CA 93631-2200
Phone (559) 897-5042
National Provider Directory
National Provider Directory- Tax ID family
- B Fareid DDS Dba Kingsburg Smile Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Kingsburg, CA
- NPI 1215463435
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Kingsburg, CA
- NPI 1376569871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441238400000",
"number": "1184092454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1591 EARL ST",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936312200",
"telephone_number": "559-897-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1591 EARL ST",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936312200",
"telephone_number": "559-897-5042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGSBURG SMILE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A",
"authorized_official_last_name": "FAREID",
"authorized_official_first_name": "BEHZAD",
"authorized_official_middle_name": "MAZADA",
"authorized_official_title_or_position": "DDS/OWNER",
"authorized_official_telephone_number": "559-897-5042",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "64702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsburg, CA
- Kingsburg District Hospital (Kingsburg Medical Center)
- Kingsburg District Hospital (Kinsgburg Medical Center)
- Kingsburg Family Dental
- Kingsburg Joint Union Elementary
- Kingsburg Joint Union High School District
- Angela Koons, RD
- Kopper Chiropractic, Inc. (Back, Headache, & Joint Pain Ctr.)
- Timothy E Kopper, DC
- Karisma Linares
- Mary Ann Lindell, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.