Dr Fatemeh Hadjian D.D.S. P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51212 Issued in CA

Legal business name

DR FATEMEH HADJIAN D.D.S. P.A.

Practice address

74000 Country Club Ste B1
Palm Desert, CA 92260

Phone

(760) 568-6900

Fax

(760) 568-6914

NPI assigned

Nov 1, 2017

Last updated

Nov 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Fatemeh Hadjian, D.D.S. P.A.NPI 1265876544

Title

D.D.S. P.a.

Phone

(760) 568-6900

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Fatemeh Hadjian, DDS, P.A.

  • General Practice Dentistry
  • Palm Desert, CA
  • NPI 1265876544
  Authorized official Same address or phone
• Jae Won Jang

  • General Practice Dentistry
  • Palm Desert, CA
  • NPI 1588211148
  NPD (past)

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1225540180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74000 COUNTRY CLUB STE B1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-568-6900",
            "fax_number": "760-568-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74000 COUNTRY CLUB STE B1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-568-6900",
            "fax_number": "760-568-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FATEMEH HADJIAN D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "HADJIAN",
        "authorized_official_first_name": "FATEMEH",
        "authorized_official_title_or_position": "D.D.S. P.A.",
        "authorized_official_telephone_number": "760-568-6900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S. P.A."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51212",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.