Organization Active NPI

Fagin Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fresno, CA
National Provider Identifier
1407489610
Registry record updated Feb 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FAGIN DENTAL CORPORATION
Doing business as
Fagin Orthodontics
Practice address
7055 N Fresno St Ste 203a
Fresno, CA 93720-2957
Phone
(559) 435-0966
Fax
(559) 435-5851
NPI assigned
Feb 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2020

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

Authorized official

Name
Dr. Mark Fagin-Hutchings, D.D.S., M.S.NPI 1982772737
Title
Owner/President
Phone
(949) 554-4434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

7055 N Fresno St Ste 203a
Fresno, CA 93720-2957

Mailing address

11925 N Ridgeway Dr
Fresno, CA 93730-7075
Phone (949) 554-4434

Other names 1

  • Fagin Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

7055 N Fresno St
Ste 203A
Fresno, CA 93720
Phone (559) 435-0966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581811200000",
    "number": "1407489610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 N RIDGEWAY DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937307075",
            "telephone_number": "949-554-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 N FRESNO ST STE 203A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202957",
            "telephone_number": "559-435-0966",
            "fax_number": "559-435-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAGIN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-16",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A",
        "authorized_official_last_name": "FAGIN-HUTCHINGS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-554-4434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fagin Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.