Fresno Pediatric Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FRESNO PEDIATRIC DENTISTRY

Practice address

5066 N Fresno St Ste 109
Fresno, CA 93710-7615

Phone

(559) 229-2244

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Ishkhan Bayrakdarian

Title

President

Phone

(559) 229-2244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1346554367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5066 N FRESNO ST STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5066 N FRESNO ST STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107615",
            "telephone_number": "559-229-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "BAYRAKDARIAN",
        "authorized_official_first_name": "ISHKHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-229-2244"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresno Nursing and Rehab Center LLC (Fresno Nursing Center)
• Fresno Oasis Mental Health Center, Inc.
• Fresno Operations, LP (Westmont of Fresno)
• Fresno Oral Maxillofacial Surgery and Dental Implant Center
• Fresno Pacific University Dba Pacific Counseling Center (Pacific Counseling Center)
• Fresno Pediatrics, a Medical Corporation (Fresno Pediatrics AMC)
• Fresno Pharmacy, Inc
• Fresno Postacute Care LLC
• Fresno Prosthetic Inc
• Fresno Rescue Mission (Fresno Mission)

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.