Active NPI
Chadi Bridi, DDS, DSCD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Visalia, CA
National Provider Identifier
1407156789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 53540
- Practice address
- 1230 S Mooney Blvd
Visalia, CA 93277-4436 - Phone
- (559) 636-2177
- Fax
- (559) 636-2145
- NPI assigned
- Nov 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 53540 | CA | Primary |
Addresses
Primary practice location
1230 S Mooney Blvd
Visalia, CA 93277-4436
Mailing address
5842 W Buena Vista Ave
Visalia, CA 93291-9170
Phone (559) 740-2734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- cbridi@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1407156789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5842 W BUENA VISTA AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932919170",
"telephone_number": "559-740-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 S MOONEY BLVD",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774436",
"telephone_number": "559-636-2177",
"fax_number": "559-636-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDI",
"first_name": "CHADI",
"name_prefix": "Dr.",
"credential": "DDS, DSCD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-02",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "53540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.