NPIMap

Organization Active NPI

Mohammad Abul Fielat DDS Inc

  • Pediatric Dentistry
  • Moreno Valley, CA
National Provider Identifier
1336661867
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
43302 Issued in CA
Legal business name
MOHAMMAD ABUL FIELAT DDS INC
Practice address
12900 Perris Blvd Ste 201
Moreno Valley, CA 92553-4135
Phone
(951) 243-3120
NPI assigned
Jul 17, 2017
Last updated
Jul 17, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MOHAMMAD ABUL FIELAT DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Mohammad G Abul-Fielat
Title
Owner/Dentist
Phone
(951) 818-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 43302 CA Primary

Addresses

Primary practice location

12900 Perris Blvd Ste 201
Moreno Valley, CA 92553-4135

Mailing address

3564 Van Buren Blvd
Riverside, CA 92503
Phone (951) 688-5437

National Provider Directory

National Provider Directory
Tax ID family
Mohammad Abul-Fielat DDS Inc17 organizations share this tax ID, including this one
Part of
Mohammad Abul-Fielat DDS Inc

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

12900 Perris Blvd
Ste 201
Moreno Valley, CA 92553
Phone (951) 242-6229

Practitioners & affiliated clinicians

Practitioners 1

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": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1336661867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 VAN BUREN BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503",
            "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": "12900 PERRIS BLVD STE 201",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534135",
            "telephone_number": "951-243-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD ABUL FIELAT DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOHAMMAD ABUL FIELAT DDS INC",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "ABUL-FIELAT",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "951-818-6017"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "43302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.