James P. Fabozzi DDS, a Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

25703 Issued in CA

Legal business name

JAMES P. FABOZZI DDS, A DENTAL CORPORATION

Practice address

4020 Chino Hills Pkwy Ste a
Chino Hills, CA 91709-2678

Phone

(909) 597-4711

Fax

(909) 597-8507

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Peter Fabozzi, D.D.S.NPI 1194753376

Title

President

Phone

(909) 597-4711

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• James P. Fabozzi, DDS

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1194753376
  NPD (past) Authorized official
• Antone Larragan Fernandes, D.D.S.,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chino Hills, CA
  • NPI 1639225089
  NPD (past)
• Soo Yeon Kim, DDS

  • General Practice Dentistry
  • Chino, CA
  • NPI 1821601121
  NPD (past)
• Sarah Fabozzi Winter, DMD

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1699080325
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326254384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 CHINO HILLS PKWY STE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092678",
            "telephone_number": "909-597-4711",
            "fax_number": "909-597-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 CHINO HILLS PKWY STE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092678",
            "telephone_number": "909-597-4711",
            "fax_number": "909-597-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P. FABOZZI DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FABOZZI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-597-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "25703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jimmy Nguyen DDS Inc

• Dentist in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.