Mohammed Shafayetul Islam DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOHAMMED SHAFAYETUL ISLAM DDS INC

Practice address

6167 N Fresno St Ste 103
Fresno, CA 93710-8610

Phone

(703) 945-5673

Fax

(559) 981-5375

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Mohammed Shafayetul Islam, DDSNPI 1174094734

Title

President

Phone

(703) 945-5673

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed Shafayetul Islam

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1174094734
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628380800000",
    "number": "1194393595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6167 N FRESNO ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108610",
            "telephone_number": "703-945-5673",
            "fax_number": "559-981-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 N FRESNO ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108610",
            "telephone_number": "703-945-5673",
            "fax_number": "559-981-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED SHAFAYETUL ISLAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "SHAFAYETUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-945-5673",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eman Numan Mohamed, D.M.D
• Kabayel Mohamed
• Kareem Mohamed, MD
• Sagal Mohamed
• Oranus Mohammadi, MD
• Matab Mohammed, PA-S
• Yussif Mohammed, M.D.
• Anya Mohan
• Carol J Mohan, RD
• Kumar Ram Mohan, MD

• Dental Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.