NPIMap

Organization Active NPI

Mohammad Abul Fielat DDS Inc

  • Pediatric Dentistry
  • Hemet, CA
National Provider Identifier
1184859258
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D43302 Issued in CA
Legal business name
MOHAMMAD ABUL FIELAT DDS INC
Practice address
1306 W Florida Ave Ste 306
Hemet, CA 92543-3908
Phone
(951) 658-5000
Fax
(951) 658-5015
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Mohamad G Abul Fielat, DDS
Title
Owner
Phone
(951) 688-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X D43302 CA Primary

Addresses

Primary practice location

1306 W Florida Ave Ste 306
Hemet, CA 92543-3908

Mailing address

Dentistry 4 Kids of Hemet
1306 W. Florida Ave Ste #306
Hemet, CA 92543
Phone (951) 658-5000

Other identifiers 1

IdentifierTypeStateIssuer
1063532802OtherCADENTICAL

National Provider Directory

National Provider Directory
Tax ID family
Mohammad Abul Fielat DDS Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1306 W Florida Ave
Ste 306
Hemet, CA 92543
Phone (951) 658-5000

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1184859258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DENTISTRY 4 KIDS OF HEMET",
            "address_2": "1306 W. FLORIDA AVE STE #306",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-658-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W FLORIDA AVE STE 306",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433908",
            "telephone_number": "951-658-5000",
            "fax_number": "951-658-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD ABUL FIELAT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "ABUL FIELAT",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-688-5437",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "D43302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1063532802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.