Organization Active NPI

Benito Julian ,DDS, Inc.

  • Dental Clinic/Center
  • Fresno, CA
National Provider Identifier
1205219110
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
44490 Issued in CA
Legal business name
BENITO JULIAN ,DDS, INC.
Practice address
2818 N Blackstone Ave
Fresno, CA 93703-1002
Phone
(559) 225-0395
Fax
(559) 225-0391
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Benito Julian, DDSNPI 1568581262
Title
Dentist/President
Phone
(559) 225-0395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 44490 CA Primary

Addresses

Primary practice location

2818 N Blackstone Ave
Fresno, CA 93703-1002

Mailing address

2818 N Blackstone Ave
Fresno, CA 93703-1002
Phone (559) 225-0395

Other identifiers 1

IdentifierTypeStateIssuer
B44490-01OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

2818 N Blackstone Ave
Fresno, CA 93703
Phone (559) 225-0395

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1205219110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031002",
            "telephone_number": "559-225-0395",
            "fax_number": "559-225-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031002",
            "telephone_number": "559-225-0395",
            "fax_number": "559-225-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENITO JULIAN ,DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "BENITO",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "559-225-0395",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B44490-01",
            "state": "CA"
        }
    ],
    "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 Jul 9, 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.

Verify at the official NPI Registry.