Individual provider Active NPI

Cemal Yildirim

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1275186702
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104016 Issued in CA
Practice address
7015 N Chestnut Ave Ste 104
Fresno, CA 93720-0349
Phone
(559) 475-0357
NPI assigned
Jul 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104016 CA Primary

Addresses

Primary practice location

7015 N Chestnut Ave Ste 104
Fresno, CA 93720-0349

Mailing address

7015 N Chestnut Ave Ste 104
Fresno, CA 93720-0349
Phone (559) 475-0357

Other practice location 1

1330 Shaw Ave Ste 103
Clovis, CA 93612-3985
Phone (559) 325-6161

Other practice location 2

5555 E Kings Canyon Rd
Fresno, CA 93727-4532
Phone (559) 255-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104016CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ozder Dental Corporation General Practice Past Accepting new patients
West Coast Dental Past Accepting new patients
Necdet Ozder Dental PC PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1275186702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 N CHESTNUT AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200349",
            "telephone_number": "559-475-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 N CHESTNUT AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200349",
            "telephone_number": "559-475-0357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Shaw Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936123985",
            "country_code": "US",
            "telephone_number": "559-325-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937274532",
            "country_code": "US",
            "telephone_number": "559-255-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YILDIRIM",
        "first_name": "CEMAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104016",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 23, 2019; 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.