NPIMap

Organization Active NPI

Clara P Fajardo DDS PC

  • Dental Clinic/Center
  • Sun City, AZ
National Provider Identifier
1336318526
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
07640102J Issued in AZ
Legal business name
CLARA P FAJARDO DDS PC
Practice address
18818 N 99TH Ave
Sun City, AZ 85373-1431
Phone
(623) 815-0512
NPI assigned
Feb 21, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Clara Patricia Fajardo, DDSNPI 1386858702
Title
Dentist
Phone
(623) 815-0513

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 07640102J AZ Primary

Addresses

Primary practice location

18818 N 99TH Ave
Sun City, AZ 85373-1431

Mailing address

18818 N 99TH Ave
Sun City, AZ 85373-1431
Phone (623) 815-0512

Other identifiers 1

IdentifierTypeStateIssuer
1386858702OtherAZNPI

Other names 1

  • Clara P Fajardo DDS PC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1336318526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18818 N 99TH AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731431",
            "telephone_number": "623-815-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18818 N 99TH AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731431",
            "telephone_number": "623-815-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA P FAJARDO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-815-0513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "07640102J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386858702",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clara P Fajardo DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.