Individual provider Active NPI

Fahad Ikram Warriach, DDS

  • Dentist
  • Dinuba, CA
National Provider Identifier
1386117893
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103424 Issued in CA
Practice address
285 W El Monte Way
Dinuba, CA 93618-1555
Phone
(155) 930-2914
NPI assigned
Jan 7, 2019
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103424 CA Primary

Addresses

Primary practice location

285 W El Monte Way
Dinuba, CA 93618-1555

Mailing address

2610 E Nees Ave Apt 257
Fresno, CA 93720-6022
Phone (718) 795-3892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802001736 CA Practitioner - Oral Surgery 7911368246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103424CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fahad Warriach DDS Inc Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1386117893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E NEES AVE APT 257",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937206022",
            "telephone_number": "718-795-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W EL MONTE WAY",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936181555",
            "telephone_number": "155-930-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRIACH",
        "first_name": "FAHAD",
        "middle_name": "IKRAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dinuba, CA

Sources for this page

Verify at the official NPI Registry.