Masoud Fanaian DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42148 Issued in CA

Legal business name

MASOUD FANAIAN DDS INC

Practice address

1140 F St
Reedley, CA 93654-3029

Phone

(559) 638-3611

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Masoud Fanaian

Title

President/Dentist

Phone

(559) 638-3611

Specialties & licenses 1

Addresses

Other names 1

• Reedley Dental Doing business as

Tax ID family

M Fanaian DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• M. Fanaian DDS Inc

  • Dental Clinic/Center
  • Reedley, CA
  • NPI 1225786130
  NPD tax ID

Locations

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1376788919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 F ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936543029",
            "telephone_number": "559-638-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 F ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936543029",
            "telephone_number": "559-638-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOUD FANAIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "FANAIAN",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "559-638-3611"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reedley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arlene Martinez Jauregui, DDS
• Crystal Carmen Martinez, CCC-SLP
• Rafael Martinez Jr., OD
• Ryan Michael Martinez, OD
• Sandra Martinez
• Jonathan Joseph Mayer, MD
• Kara Lyn Mayfield, CMT
• Christine Meachum-Carey, OTR/L
• Stephanie Medel-de Loera
• Aishwarya Sunil Meher

• General Practice Dentistry in Reedley, CA
• Providers in Reedley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.