Organization Active NPI

Ryan J. Fait, DDS, Inc.

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1437815057
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RYAN J. FAIT, DDS, INC.
Doing business as
Ryan J. Fait, DDS. INC
Practice address
2700 N Bellflower Blvd Ste 206
Long Beach, CA 90815-1144
Phone
(562) 982-1552
Fax
(562) 425-3412
NPI assigned
Nov 9, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Dr. Ryan J Fait, DDSNPI 1619376027
Title
President
Phone
(562) 982-1552

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2700 N Bellflower Blvd Ste 206
Long Beach, CA 90815-1144

Mailing address

2700 N Bellflower Blvd Ste 206
Long Beach, CA 90815-1144
Phone (562) 982-1552

Other practice location 1

635 A-B Cresent Ave
Avalon, CA 90704
Phone (301) 510-9688

Other names 1

  • Ryan J. Fait, DDS. INC Doing business as

National Provider Directory

National Provider Directory

Locations

2700 N Bellflower Blvd
Ste 206
Long Beach, CA 90815
Phone (562) 888-3399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1437815057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD STE 206",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151144",
            "telephone_number": "562-982-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD STE 206",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151144",
            "telephone_number": "562-982-1552",
            "fax_number": "562-425-3412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 A-B Cresent Ave",
            "address_purpose": "LOCATION",
            "city": "Avalon",
            "state": "CA",
            "postal_code": "90704",
            "country_code": "US",
            "telephone_number": "301-510-9688",
            "fax_number": "562-425-3412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RYAN J. FAIT, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "FAIT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-982-1552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan J. Fait, DDS. INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.