NPIMap

Organization Active NPI

Mohammad Abul Filat DDS Inc

  • Pediatric Dentistry
  • Corona, CA
National Provider Identifier
1245659192
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
43302 Issued in CA
Legal business name
MOHAMMAD ABUL FILAT DDS INC
Practice address
1561 E Ontario Ave
Ste # 103a
Corona, CA 92881-6662
Phone
(951) 688-5437
Fax
(951) 688-5434
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Mohamad Abul-Fielat, DDSNPI 1275700510
Title
Owner
Phone
(951) 688-5437

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 43302 CA Primary

Addresses

Primary practice location

1561 E Ontario Ave
Ste # 103a
Corona, CA 92881-6662

Mailing address

1561 E Ontario Ave
Ste # 103a
Corona, CA 92881-6662
Phone (951) 688-5437

Other identifiers 1

IdentifierTypeStateIssuer
G9225201MedicaidCA

Other names 1

  • MOHAMMAD ABUL FIELAT Doing business as

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

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": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1245659192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 E ONTARIO AVE",
            "address_2": "STE # 103A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816662",
            "telephone_number": "951-688-5437",
            "fax_number": "951-688-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 E ONTARIO AVE",
            "address_2": "STE # 103A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816662",
            "telephone_number": "951-688-5437",
            "fax_number": "951-688-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD ABUL FILAT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "ABUL-FIELAT",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-688-5437",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "43302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9225201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOHAMMAD ABUL FIELAT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.