Organization Active NPI

Children'S Dentistry of Madera a Dental Office of Stephen O'Hara, DDS,

  • Dentist
  • Madera, CA
National Provider Identifier
1396313003
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHILDREN'S DENTISTRY OF MADERA A DENTAL OFFICE OF STEPHEN O'HARA, DDS,
Practice address
2370 W Cleveland Ave Ste 104
Madera, CA 93637-8742
Phone
(559) 554-9999
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Dr. Stephen O'Hara, DDS
Title
Owner/President
Phone
(559) 554-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2370 W Cleveland Ave Ste 104
Madera, CA 93637-8742

Mailing address

1900 Shaw Ave Ste 101
Clovis, CA 93611-4209
Phone (559) 439-5300

National Provider Directory

National Provider Directory

Locations

2370 W Cleveland Ave
Ste 104
Madera, CA 93637
Phone (559) 554-9999

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1396313003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114209",
            "telephone_number": "559-439-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 W CLEVELAND AVE STE 104",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936378742",
            "telephone_number": "559-554-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF MADERA A DENTAL OFFICE OF STEPHEN O'HARA, DDS,",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "559-554-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

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